11 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
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
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
abnormal) in nearly all ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #HeadImpulse #Testing
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
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... test characteristics ... #Stroke #physicalexam ... #diagnosis #neurology ... #cva
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
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... effectively increasing ACh ... VA Joint Chiefs ... Myasthenia #Gravis #physicalexam ... #neurology #diagnosis
Foster Maneuver (half somersault maneuver) for Treatment of BPPV
Some patient find this maneuver more easier with
Foster Maneuver ... for Treatment of BPPV ... while you're on all ... #neurology #instructions ... clinical #video #physicalexam
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... narrowing on MRA/CTA ... circulation: MCA ACA ... thrombosis Testing ... #management #neurology