55 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... change • Neurologic ... • Short-lived, positional ... differential #diagnosis #neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Test in Posterior Canal ... Benign Paroxysmal Positional ... in head-hanging position ... in head-hanging position ... #dixhallpike #physicalexam
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... Central #Peripheral #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... CENTRAL cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Video #Positive #Neurology ... #Central #Vertigo
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
in horizontal canal ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... Algorithm True Vertigo ... Benign Paroxysmal Positional ... Dysfunction - Imbalance, neurologic ... #Neurology #Differential
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
a patient with vertigo ... PERIPHERAL cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Video #Negative #Neurology ... #Peripheral #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... CENTRAL cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Benign paroxysmal positional ... than 30 seconds), positional ... with significant neurologic ... attacks with varying neurologic ... differential #diagnosis #neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

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