48 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Nystagmus Test ... #PhysicalExam #Testing ... #Vertigo #Central ... #Peripheral #Neurology
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Causes of Vertigo ... Algorithm #Diagnosis #Neurology ... #Dizziness #Peripheral ... #Central #Algorithm ... #BPPV #Differential
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... upbeat (fast phase beating ... #Central #Vertigo ... symptoms #comparison #neurology
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 ... auditory findings BPPV ... differential #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... following a finger) • Test ... #Peripheral #Vertigo ... #diagnosis #neurology ... #bppv #comparison
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Nystagmus - Left-beating ... reassuring for a PERIPHERAL ... cause of vertigo ... Video #Negative #Neurology ... #Peripheral #Vertigo
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... (BPPV) • Latency ... toward the downward ear ... with repeated testing ... #physicalexam #testing
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS and ... cause of AVS. ... #PhysicalExam #Neurology ... #Testing #HIT #
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 ... #diagnosis #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central