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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 ... Head Impulse Test ... Nystagmus Test ... #Exam #PhysicalExam
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

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

In a patient with vertigo symptoms, this
HINTS Exam - Normal ... Test of Skew (Normal ... a patient with vertigo ... Vertical #Skew #Test ... #HINTS #PhysicalExam
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... a patient with vertigo ... PERIPHERAL cause of vertigo ... #HINTS #PhysicalExam ... Video #Neurology #Vertigo
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... Head Impulse Test ... normal head impulse test ... a patient with vertigo ... #HINTS #PhysicalExam
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... a patient with vertigo ... PERIPHERAL cause of vertigo ... #HINTS #PhysicalExam ... Video #Neurology #Vertigo
HINTS Exam - Bidirectional Nystagmus 

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

In a patient with vertigo symptoms, this finding is reassuring
HINTS Exam - Unidirectional ... a patient with vertigo ... PERIPHERAL cause of vertigo ... Unidirectional #Nystagmus #HINTS ... #PhysicalExam #
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... from Peripheral Vertigo ... following a finger) • Test ... TylerLarsenMD #HINTS ... #physicalexam #
Kussmaul's Sign on Physical Exam

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on
Kussmaul's Sign ... Exam Kussmaul sign ... venous pressure (JVP ... #Kussmauls #Sign ... #Video #PhysicalExam