33 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... Vertigo #diagnosis #neurology ... #bppv #comparison
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Peripheral #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... normal head impulse test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... auditory findings BPPV ... Positive Hallpike test ... or supine roll test
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... patients with a central ... a stand-alone test ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
• Peripheral: BPPV ... Meniere's Disease • Central ... Autonomic dysfunction, Meds ... Differential #Diagnosis #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Blood pressure control ... titratable IV meds ... preferred Seizure control ... Syndrome #Treatment #Management ... #Neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... Epley #Maneuver #BPPV ... positional #vertigo #neurology ... clinical #video #physicalexam ... #management
Abnormal Test of Skew indicating central process

via @neurologiabr

#Abnormal #Vertical #Skew #Test #HINTS #PhysicalExam #Clinical #Video #Neurology
Abnormal Test of ... Skew indicating central ... Vertical #Skew #Test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology