19 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
HINTS Exam - Bidirectional ... patient with vertigo symptoms ... worrisome for a CENTRAL ... Nystagmus #HINTS #PhysicalExam ... Positive #Neurology #Central
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
HINTS Exam - Unidirectional ... patient with vertigo symptoms ... PeterJohns84 #Unidirectional ... Nystagmus #HINTS #PhysicalExam
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... Bone Fracture Central ... Imbalance, neurologic symptoms ... /signs, bidirectional
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... present, including tinnitus ... labyrinthitis) CENTRAL ... findings #signs #symptoms ... #comparison #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
patient with vertigo symptoms ... worrisome for a CENTRAL ... #Test #HINTS #PhysicalExam ... Neurology #Vertigo #Central
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Time course and symptoms ... hypoacusia or tinnitus ... differential #diagnosis #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
may be present Central ... No auditory symptoms ... Méniére's disease • Tinnitus ... Long symptom-free
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... patient with vertigo symptoms ... worrisome for a CENTRAL ... #Test #HINTS #PhysicalExam ... Neurology #Vertigo #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... neurology #bppv #comparison
Differentiating Features Between Central and Peripheral Cyanosis

Mechanism - Arterial destauration
Sites - Skin, mucous membrane of oral
Features Between Central ... #Cyanosis #Central ... #Peripheral #Comparison ... #Signs #Symptoms