Thank you, Vikas, for an excellent morning report today. Our applicants really appreciated the strong give and take and got a flavor for our educational approach.
Here’s the reference for the HINTS paper that describes 3 factors suggesting against a peripheral cause for a patient’s acute vertigo:
- Negative head impulse test
- Direction-changing nystagmus
- Skew deviation
The data supplement to this paper has videos showing what these oculomotor signs look like. I encourage residents to view these videos if you don’t have a clear understanding of the above signs.