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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 ... Cause This video ... demonstrates: 1) Normal ... cause of vertigo ... HeadImpulse #Test #HINTS
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Normal ... reassuring for a PERIPHERAL ... cause of vertigo ... 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 ... Cause This patient ... cause of vertigo ... HeadImpulse #Test #HINTS
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

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

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

In a patient with vertigo symptoms, this finding is reassuring
HINTS Exam - Unidirectional ... reassuring for a PERIPHERAL ... cause of vertigo ... Unidirectional #Nystagmus #HINTS ... Negative #Neurology #Peripheral
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Causes of Facial ... Differential Diagnosis Algorithm ... Forehead Sparing = Central ... Forehead involved = Peripheral ... Differential #Diagnosis #Algorithm
Types of Facial Paralysis - Peripheral vs Central Lesions

Facial weakness or paralysis may result either from
vs Central Lesions ... face, or (2 ) a central ... compared with a central ... part of the face normally ... #Central #Facial
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