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Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus, test ... more likely to be peripheral ... the etiology is peripheral ... Timing of the symptom ... provoke the symptom
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
to approach to Dizziness ... or Episodic • Triggers ... additional history "Dizziness ... yet imprecise symptom ... differential #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Algorithm for Dizziness ... and Vertigo Peripheral ... No auditory symptoms ... Long symptom-free ... differential #diagnosis #neurology
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Algorithm #Diagnosis #Neurology ... #Dizziness #Peripheral
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... patient with vertigo symptoms ... Vertical #Skew #Test ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... patient with vertigo symptoms ... reassuring for a PERIPHERAL ... Clinical #Video #Neurology ... #Vertigo #Peripheral
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Rotary Movement Peripheral ... vomiting, auditory symptoms ... symptoms/signs, ... #Vertigo #Neurology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... "pass out" • Symptoms ... may be triggered ... EricsMedicalLectures/ #Dizziness ... differential #diagnosis #neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... patient with vertigo symptoms ... reassuring for a PERIPHERAL ... Clinical #Video #Neurology ... #Vertigo #Peripheral
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central vs Peripheral ... Head Impulse Test ... Nystagmus Test ... Vertigo #Central #Peripheral ... #Neurology