25 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
HINTS Exam - Bidirectional ... Nystagmus In ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
HINTS Exam - Unidirectional ... Nystagmus - Left-beating ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Negative #Neurology
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 ... Impulse Test Nystagmus ... #Exam #PhysicalExam ... Central #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... #physicalexam # ... #diagnosis #neurology ... #bppv #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... auditory findings BPPV ... #diagnosis #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... test to the left and ... HeadImpulse #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 ... vestibular neuritis • Nystagmus ... (BPPV); worsens ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... unidirectonal nystagmus ... bidirectional nystagmus ... #Neurology #Differential ... #Diagnosis #Algorithm
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... torsional nystagmus ... and reproduction ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for Treatment ... of BPPV By Dr ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam