35 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
a patient with vertigo ... #Abnormal #HeadImpulse ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... normal head impulse test ... PeterJohns84 #Normal #HeadImpulse ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
a patient with vertigo ... #Abnormal #HeadImpulse ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... a patient with vertigo ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Negative #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... Positive Hallpike test ... or supine roll test
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... Peripheral #Central #HeadImpulse
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Illusion of Rotary Movement ... unidirectonal nystagmus ... Dysfunction - Imbalance, neurologic ... bidirectional nystagmus ... #Neurology #Differential
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Latency (delay in nystagmus ... and torsional nystagmus ... and nystagmus escalates ... #dixhallpike #physicalexam