84 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

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

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

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

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... 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 ... reassuring for a PERIPHERAL ... #PhysicalExam #Clinical ... Video #Negative #Neurology ... #Peripheral #Vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... Varies • No neurologic ... Positive Hallpike test ... or supine roll test ... Positive head impulse test
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 - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central from Peripheral ... Vertigo • Head ... following a finger) • Test ... #Vertigo #diagnosis ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... PERIPHERAL VERTIGO ... continuous and lasting ... Findings: Rarely #Peripheral ... symptoms #comparison #neurology
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