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

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: https://www.youtube.com/c/PeterJohns/videos #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/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