HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes fixed on examiners nose • Nystagmus: Have patient look left, right, up and down to provoke. Want to avoid fixation on an object (like following a finger) • Test of Skew: Have patient look straight ahead, cover and uncover each eye Dr. Tyler Larsen @TylerLarsenMD #HINTS #physicalexam #Central #Peripheral #Vertigo #diagnosis #neurology #bppv #comparison #table
