26 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Causes of Vertigo ... Algorithm #Diagnosis ... #Neurology #Dizziness ... #Peripheral #Central ... #Algorithm #BPPV
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... #Peripheral #Central ... #Vertigo #diagnosis ... symptoms #comparison #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... may be present Central ... auditory findings BPPV ... #differential #diagnosis ... #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis ... #neurology #comparison
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... abnormal) in nearly all ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... (BPPV) - Short-lived ... CENTRAL VERTIGO ... #differential #diagnosis ... #neurology