26 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central vs ... Peripheral Vertigo ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... 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
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... This patient as ... normal head impulse test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... (BPPV); worsens ... vascular causes, such as ... #diagnosis #findings ... symptoms #comparison #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... abnormal) in nearly all ... a stand-alone test ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... TylerLarsenMD #Dix ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Positive Lachman's Test

The Lachman test is a clinical test used to diagnose injury of the anterior
used to diagnose ... cruciate ligament (ACL ... is recognized as ... The knee is flexed ... ACL #PhysicalExam
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 ... BostonChiefs #Icepack #Test ... Myasthenia #Gravis #physicalexam ... #neurology #diagnosis