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/PRESYNCOPE LASTING HOURS TO DAYS

The HINTS test is a timesensitive 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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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