15 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
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
(HIT) result is ... abnormal) in nearly all ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
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
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
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... Myasthenia Gravis ... effectively increasing ACh ... #physicalexam # ... neurology #diagnosis
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
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... In-office testing ... and the ice pack test ... #PhysicalExam # ... ophthalmology #neurology
Foster Maneuver (half somersault maneuver) for Treatment of BPPV
Some patient find this maneuver more easier with
for Treatment of BPPV ... home exercise. 1) Kneel ... while you're on all ... #neurology #instructions ... clinical #video #physicalexam