36 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
worrisome for a CENTRAL ... Nystagmus #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... change • Neurologic ... Positive Hallpike ... differential #diagnosis #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
worrisome for a CENTRAL ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Abnormal (Positive, Upgoing) Babinski Sign on Physical Exam

#Abnormal #Positive #Babinski #Sign #PhysicalExam #clinical #video #reflex #pyramidal
Abnormal (Positive ... #Abnormal #Positive ... Babinski #Sign #PhysicalExam ... clinical #video #reflex ... #pyramidal #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... nose) • Head Position ... #Peripheral #Central ... symptoms #comparison #neurology
Abnormal (Positive) Babinski Sign on Physical Exam

Dorsiflexion of the great toe with or without fanning of
Abnormal (Positive ... #Abnormal #Positive ... Babinski #Sign #PhysicalExam ... clinical #video #reflex ... #pyramidal #neurology
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
The Hoffmann's reflex ... A positive response ... #Positive #Abnormal ... clinical #video #neurology ... #physicalexam