27 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Vertigo Head ... Impulse Test Nystagmus ... Test of Skew ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... in head-hanging position ... with repeated testing ... #dixhallpike #physicalexam ... #testing #findings
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... worsen with head position ... • Short-lived, positional ... #Algorithm #differential
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... a patient with vertigo ... cause of vertigo ... #HINTS #PhysicalExam ... #Peripheral
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... reassuring for a PERIPHERAL ... Vertical #Skew #Test ... #HINTS #PhysicalExam ... #Peripheral
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... between causes of peripheral ... Benign Paroxysmal Positional ... Recurrent episodes lasting ... Chiefs @jmcchiefs #Peripheral
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... PERIPHERAL VERTIGO ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... a patient with vertigo ... cause of vertigo ... #HINTS #PhysicalExam ... #Peripheral
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Nystagmus - Left-beating ... reassuring for a PERIPHERAL ... Nystagmus #HINTS #PhysicalExam ... Negative #Neurology #Peripheral ... #Vertigo
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... PERIPHERAL VERTIGO ... usually lasting ... episode usually lasting ... #Peripheral #Central