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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Differentiating Central ... vs Peripheral Vertigo ... JayLin3455 #HINTS ... #Peripheral #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... Impulse Test = Peripheral ... reassuring for a PERIPHERAL ... HeadImpulse #Test #HINTS ... Neurology #Vertigo #Peripheral
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Abnormal ... Test of Skew (Abnormal ... worrisome for a CENTRAL ... Vertical #Skew #Test #HINTS ... Neurology #Vertigo #Central
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Normal ... Test of Skew (Normal ... reassuring for a PERIPHERAL ... Vertical #Skew #Test #HINTS ... Neurology #Vertigo #Peripheral
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... Impulse Test = Central ... worrisome for a CENTRAL ... HeadImpulse #Test #HINTS ... Neurology #Vertigo #Central
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Differential Diagnosis Algorithm ... Forehead Sparing = Central ... Forehead involved = Peripheral ... Differential #Diagnosis #Algorithm
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
replacement of normal ... gastric oxyntic or antral ... Clinical decision algorithm