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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... vs Peripheral Vertigo ... Nystagmus Test ... #PhysicalExam #Testing ... #Peripheral #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
cause of AVS and ... cause of AVS. ... #Neurology #AVS ... #Testing #HIT # ... HINTS
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... = Central Cause ... This patient as ... Video by Dr. ... #Neurology #Vertigo
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... following a finger) • Test ... #diagnosis #neurology ... bppv #comparison #table
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... disposition, even if the cause ... is peripheral. ... CNS, Central nervous ... #Diagnosis #AVS
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... the dizziness as ... or central TiTrATE ... The approach uses
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... with vascular causes ... , such as with posterior ... #diagnosis #findings ... symptoms #comparison #neurology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... C3, C4 - Test for ... infections are common causes ... #workup #diagnosis ... #nephritic #nephrology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
. 5) C3, C4 - Test ... infections are common causes ... glomerular #disease #workup ... #diagnosis #initial ... #testing #nephrology
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Manifestations: Renal: • Nephrotic ... Immunoglobulin light chains as ... hypoadrenalism • Nausea ... Testing Blood ... typing Cardiac Testing