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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... vs Peripheral Vertigo ... Nystagmus Test ... #Central #Peripheral ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
cause of AVS and ... cause of AVS. ... #Posterior #CVA ... #Peripheral #Central ... #Testing #HIT #HINTS
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... This patient as ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... #Peripheral #Central ... #Causes #differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... may be present Central ... with vascular causes ... positional episodes caused ... #Algorithm #differential
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... the dizziness as ... of dizziness or vertigo ... Dizziness #Algorithm #Differential
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
components: targeted neurologic ... disposition, even if the cause ... is peripheral. ... CNS, Central nervous ... #Posterior #CVA
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
Emergencies - Differential ... of breath • Neurologic ... deficits (peripheral ... Superior Vena Cava ... • Dyspnea at rest
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
~5th decade → peripheral ... Mortality due to CVD ... GHRH release, central ... Differential Diagnosis ... glucose suppression test