29 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Peripheral #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam # ... clinical #video #neurology ... #ophthalmology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... #differential #diagnosis
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential Diagnosis ... unidirectonal nystagmus ... Bone Fracture Central ... symptoms/signs, ... bidirectional nystagmus
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
extensor weakness - Sign ... 9.2, LR- 0.09 Best ... test characteristics ... Testing #Stroke #physicalexam ... #diagnosis #neurology
Vertical Nystagmus on Slit Lamp Ocular Examination

Often an indicator of a central lesion. This patient was
Vertical Nystagmus ... indicator of a central ... By Ophthalmology ... #PhysicalExam # ... #neurology #SlitLamp
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #Vertigo #diagnosis ... #findings #signs ... symptoms #comparison #neurology
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
Romberg's Test for ... Meaning: Positive test ... (Romberg's sign ... #neurology #diagnosis ... proprioception #physicalexam