127 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Peripheral #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... Positive Hallpike test ... or supine roll test ... Positive head impulse test ... Méniére's disease
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... nystagmus and vertigo ... toward the downward ear ... with repeated testing ... #physicalexam #testing
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

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

In a patient with vertigo symptoms, this
Exam - Normal Test ... a patient with vertigo ... Vertical #Skew #Test ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
a patient with vertigo ... PERIPHERAL cause of vertigo ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... normal head impulse test ... a patient with vertigo ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
a patient with vertigo ... PERIPHERAL cause of vertigo ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Nystagmus - Left-beating ... a patient with vertigo ... #PhysicalExam #Clinical ... Video #Negative #Neurology ... #Peripheral #Vertigo
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Méniére's disease ... usually lasting ... with significant neurologic ... course of the disease ... Disease onset usually