2159 results
HINTS Exam - Bidirectional Nystagmus 

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

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... Video by Dr. ... Unidirectional #Nystagmus ... PhysicalExam #Clinical #Video
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... or vertigo to subside ... Again, allow any nystagmus ... or vertigo to subside ... instructions #clinical #video
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... or vertigo to subside ... Again, allow any nystagmus ... or vertigo to subside ... instructions #clinical #video
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Latency (delay in nystagmus ... and torsional nystagmus ... and nystagmus escalates ... 30 seconds • Nystagmus ... sitting position • Nystagmus
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Impulse Test Nystagmus ... PhysicalExam #Testing #Vertigo
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... Algorithm True Vertigo ... unidirectonal nystagmus ... Paroxysmal Positional Vertigo ... bidirectional nystagmus
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo ... Peripheral Vertigo ... minutes to days • Nystagmus ... present Central Vertigo ... vascular causes • Nystagmus
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... BPPV); worsens vertigo ... circulation TIA • Nystagmus
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... Central #Peripheral #Vertigo