HINTS Exam - Physiopedia The HINTS exam is a cluster of three bedside clinical tests that aim to assess individuals presenting with acute-onset dizziness, vertigo, nystagmus, head motion intolerance, and nausea vomiting, also known as acute vestibular syndrome (AVS)
EBQ:HINTS Exam - WikEM HINTS exam should only be used in patient with acute persistent vertigo, nystagmus, and a normal neurological exam Note that the original study was done by neuro-ophthalmologists in a differentiated patient base This exam has not been studied in a large ED population yet
HINTS Exam: Determining the Cause of Acute Vestibular Syndrome It is possible to have multiple lesions sites in the posterior circulation If there is a lesion in the PICA, AICA, Labyrinthine artery, Pontine arteries or SCA, in addition to the PCA, the patient could have S S of AVS as well as the neurological S S associated with the occipital lobe and midbrain
Take a HINT on Central Vertigo in the Emergency Department - EMRA Differentiating benign peripheral conditions from central nervous system lesions like strokes can be difficult Enter the HINTS exam - the objective measure If one were to survey a group of EM physicians on a chief complaint that irks them the most, "dizziness" would probably top that list
Vertigo: A hint on the HiNTs exam - NUEM Blog What is the HiNTs Exam? The HiNTs Exam is a screening tool for distinguishing a central cause of vertigo from an acute peripheral vestibulopathy (APV), such as vestibular neuritis
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