HINTS Exam for Vertigo Explained - Head Impulse, Nystagmus, Test of Skew - Clinical Skills - Dr Gill

TO BE ABSOLUTELY CLEAR - THE HINTS EXAMINATION IS ONLY OF USE IN PATIENTS WITH PROLONGED VERTIGO/NYSTAGMUS/DISEQUILIBRIUM/PRE-SYNCOPE LASTING HOURS TO DAYS

The HINTS test is a time-sensitive examination allowing the clinician to determine whether a patient has a central or peripheral lesion as the cause of their vertigo/dizziness complaint

To boil that down further the HINTS test allows you to quickly determine if vertigo is due to a central (ie possible stroke) or a peripheral lesion

In this video we will go through each part of the HINTS exam:
Head Impulse,
Nystagmus,
Test of Skew

Along with a discussion of the findings

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youtube.com/c/PeterJohns/videos

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You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/video-consultation/

00:00 - Overview of the HINTS Examination
00:54 - Components and Purpose of HINTS Examination
01:28 - Patient Selection for HINTS Examination
02:35 - Distinguishing Between Central and Peripheral Lesions
03:35 - Application of HINTS Examination
06:02 - Reliability of HINTS Examination
06:52 - Common Misuses of HINTS Examination
11:03 - Demonstrating the HINTS Examination Procedure
12:58 - Head Impulse Test
13:41 - Test of Skew
14:44 - Interpreting HINTS Examination Results: HINTS Central vs. HINTS Peripheral
16:17 - Inducing Nystagmus for Educational Purposes :)
17:06 - Conclusion and Final Thoughts