12 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Nystagmus Test ... #PhysicalExam #Testing ... #Vertigo #Central ... #Peripheral #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Abnormal ... Test of Skew (Abnormal ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... may be present Central ... with vascular causes ... positional episodes caused ... (posterior canal
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... = Central Cause ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... forehead) in classic posterior ... with vascular causes ... , such as with posterior ... symptoms #comparison #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS. ... #PhysicalExam #Neurology ... VestibularSyndrome #Posterior ... #HeadImpulse #Testing
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... and Central Vertigo ... CENTRAL VERTIGO ... Occlusion of posterior ... #Vertigo #Causes
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
components: targeted neurologic ... disposition, even if the cause ... CNS, Central nervous ... Diagnosis #AVS #Posterior ... #CVA #HINTS #Exam
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
13 Dangerous Causes ... intensity at onset, posterior ... at home or at work ... thrombophilia, neurologic ... infection: ear,
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Pupil on Physical Exam ... Her ocular exam ... parasympathetic control ... typically warrants retesting ... #physicalexam #neurology