147 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... (delay in nystagmus ... and torsional nystagmus ... #dixhallpike #physicalexam ... findings #signs #bppv
HINTS Exam - Bidirectional Nystagmus 

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

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... vestibular neuritis • Nystagmus ... (BPPV); worsens ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
occurs with certain movements ... and torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... position change • Neurologic ... auditory findings BPPV
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Illusion of Rotary Movement ... unidirectonal nystagmus ... Dysfunction - Imbalance, neurologic ... bidirectional nystagmus ... #Neurology #Differential
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... Central #Peripheral #Neurology
Characteristic eye movements found in congenital nystagmus

Video by Kathleen B. Digre, M.D. - Moran Eye Center

#Congenital
Characteristic eye movements ... in congenital nystagmus ... Ophthalmology #Neurology ... #Clinical #Video ... #Ocular #PhysicalExam