31 results
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Rotary Movement Peripheral ... unidirectonal nystagmus ... symptoms/signs, ... bidirectional nystagmus
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... cause of vertigo ... #HINTS #PhysicalExam ... Video #Negative #Neurology ... #Peripheral #Vertigo
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Vertigo Head ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... for a CENTRAL cause ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Positive #Neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... syndrome) • Cerebellar ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... with vascular causes ... • Nystagmus: ... positional episodes caused
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Clinical Findings: • Nausea ... /vomiting/vertigo ... /nystagmus - Vestibular ... #Wallenbergs #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Vertigo • Head ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... PERIPHERAL VERTIGO ... Cerebellar hemorrhage ... signs or symptoms ... #Vertigo #Causes
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
reassuring for a PERIPHERAL ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral