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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 - ... Nystagmus Test ... of Skew Animation ... #PhysicalExam #Testing ... #Peripheral #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

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

In a patient with vertigo symptoms, this
HINTS Exam - Normal ... Test of Skew (Normal ... cause of vertigo ... #Test #HINTS #PhysicalExam ... #Neurology #Vertigo
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Central from Peripheral ... following a finger) • Test ... of Skew: Have patient ... #diagnosis #neurology ... bppv #comparison #table
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #Testing #HIT # ... HINTS
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
disposition, even if the cause ... is peripheral. ... CNS, Central nervous ... , Head Impulse Test ... of Skew.
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... of skew.) ... or central TiTrATE ... The approach uses
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
~5th decade → peripheral ... GHRH release, central ... and Workup: • ... glucose suppression test ... • Pituitary testing
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... Cortisol+ACTH stim test ... only if no clear cause ... Elimination (see Table ... Ca-gluconate or 1g CaCl- (central