Vertigo physical examination: Difference between revisions
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**[[Nystagmus]] | **[[Nystagmus]] | ||
**Hearing: Weber or Rinne's test is done in the clinic or at bedside to determine if it is conductive or [[sensorineural hearing loss]]. | **Hearing: Weber or Rinne's test is done in the clinic or at bedside to determine if it is conductive or [[sensorineural hearing loss]]. | ||
**Otoscopic Exam: | **Otoscopic Exam: Can identify [[cholesteatoma]], [[herpes zoster otiticus]](vescicles on tympanic membrane), acute otitis media. | ||
**'''HINTS''': '''H'''ead '''I'''mpulse, '''N'''ystagmus, '''T'''est of '''S'''kew (cover/uncover test) to identify if the cause of [[vestibular neuritis]] is central or peripheral. | **'''HINTS''': '''H'''ead '''I'''mpulse, '''N'''ystagmus, '''T'''est of '''S'''kew (cover/uncover test) to identify if the cause of [[vestibular neuritis]] is central or peripheral. | ||
**[[Dix-Hallpike maneuver]] is used to diagnose [[benign paroxysmal positional vertigo]]. | **[[Dix-Hallpike maneuver]] is used to diagnose [[benign paroxysmal positional vertigo]]. | ||
Revision as of 19:35, 18 December 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
- Important signs to assess in a patient with vertigo:
- Nystagmus
- Hearing: Weber or Rinne's test is done in the clinic or at bedside to determine if it is conductive or sensorineural hearing loss.
- Otoscopic Exam: Can identify cholesteatoma, herpes zoster otiticus(vescicles on tympanic membrane), acute otitis media.
- HINTS: Head Impulse, Nystagmus, Test of Skew (cover/uncover test) to identify if the cause of vestibular neuritis is central or peripheral.
- Dix-Hallpike maneuver is used to diagnose benign paroxysmal positional vertigo.
- Hennebert’s sign, pushing tragus provokes vertigo or nystagmus on the affected side in patients with perilymphatic fistula.