31 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this ... for a CENTRAL cause ... #PhysicalExam #Clinical ... Video #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... symptoms, this ... for a PERIPHERAL cause ... #PhysicalExam #Clinical ... Video #Negative #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... unidirectonal nystagmus ... symptoms/signs, ... bidirectional nystagmus ... #Neurology #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
with vascular causes ... • Nystagmus: ... No auditory symptoms ... Long symptom-free ... differential #diagnosis #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
symptoms, this ... for a CENTRAL cause ... of vertigo. ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
symptoms, this ... for a PERIPHERAL cause ... of vertigo. ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Test = Central Cause ... symptoms, this ... for a CENTRAL cause ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
Test = Peripheral Cause ... symptoms, this ... for a PERIPHERAL cause ... #PhysicalExam #Clinical ... #Video #Neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... findings #signs #symptoms ... #comparison #neurology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... "pass out" • Symptoms ... Associated with nausea ... Dysequilibrium: • Feels unable ... differential #diagnosis #neurology