40 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS and ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #Testing #HIT #
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... upbeat (fast phase beating ... with vascular causes ... symptoms #comparison #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Central #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 ... cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
anti-clockwise nystagmus beating ... to left ear. ... Hallpike #Maneuver #clinical ... #video #physicalexam ... ophthalmology #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... may be present Central ... with vascular causes ... auditory findings BPPV ... differential #diagnosis #neurology
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... arm tremor caused ... #Wing #Beating # ... #video #neurology ... #copper #physicalexam
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... arm tremor caused ... #Wing #Beating # ... #video #neurology ... #copper #physicalexam
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
cause of vertigo ... #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo ... #Central