45 results
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... symptoms, this ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Central
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... auditory findings BPPV ... No auditory symptoms ... Long symptom-free
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... symptoms, this ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Central
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... patient with a clinical ... consistent with BPPV ... patient with a clinical ... Labyrinthitis #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... #Peripheral #Central ... findings #signs #symptoms ... #comparison #neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... (BPPV) • Latency ... symptoms in head-hanging ... toward the downward ear ... findings #signs #bppv
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
symptoms, this ... worrisome for a CENTRAL ... #PhysicalExam #Clinical ... Video #Positive #Neurology ... #Central #Vertigo
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... (BPPV) - Short-lived ... CENTRAL VERTIGO ... with significant neurologic ... #Peripheral #Central
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... symptoms, this ... Vertical #Skew #Test ... #PhysicalExam #Clinical ... #Video #Neurology