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Video Source: www.youtube.com/watch?v=q5AJNgZXDxs
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 • You can find more of Dr Peter Johns videos here: • / peterjohns • #DrGill #ClinicalSkill #ENT • You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/... • 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
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