27 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
HINTS Exam - Distinguishing ... from Peripheral Vertigo ... examiners nose • Nystagmus ... #physicalexam # ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... worsen with head position ... • Short-lived, positional ... #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... unidirectonal nystagmus ... Benign Paroxysmal Positional ... bidirectional nystagmus ... #Neurology #Differential
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
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... BENIGN PAROXYSMAL POSITIONAL ... torsional nystagmus ... and reproduction ... Labyrinthitis #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
peripheral cause of AVS and ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #Testing #HIT #HINTS