52 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... Central #Peripheral #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... for a CENTRAL cause ... Vertical #Skew #Test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... for a PERIPHERAL cause ... Vertical #Skew #Test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... with vascular causes ... positional episodes caused ... or supine roll test ... Méniére's disease
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... for a PERIPHERAL cause ... of vertigo. ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... for a CENTRAL cause ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... for a PERIPHERAL cause ... of vertigo. ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Nystagmus - Left-beating ... for a PERIPHERAL cause ... of vertigo. ... Nystagmus #HINTS #PhysicalExam ... Video #Negative #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Méniére's disease ... usually lasting ... without an obvious cause ... Disease onset usually