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HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew) In a patient with vertigo symptoms, this finding is worrisome for a CENTRAL cause of vertigo. Video by Dr. Peter Johns @ https://twitter.com/PeterJohns84 #Abnormal #Vertical #Skew #Test #HINTS #PhysicalExam #Clinical #Video #Neurology #Vertigo #Central