Mar 4, 2020 · This guide provides a clear step-by-step approach to performing the head impulse, nystagmus and test of skew (HINTS) examination in an OSCE setting with an included checklist.

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). HINTS is an acronym for the three tests included:

Aug 13, 2019 · 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 …

A HINTS exam consistent with peripheral vertigo should have all of the following: an abnormal head impulse test (with a corrective saccade), nystagmus that does not change direction on eccentric gaze, and a negative test of skew deviation.

o 3-part oculomotor exam: Head Impulse Test, Nystagmus, Test of Skew o >96% sensitive and specific 1in patients with AVS and at least 1 stroke risk factor o Only for patients with AVS: dizziness present for ≥24 hours and nystagmus in at least 1 gaze evoked position

Test of vestibulo-ocular reflex function. Normally, a functional vestibular system will identify any movement of the head position and instantaneously correct eye movement accordingly so that the center of the vision remains on a target. Then rapidly uncover the eye and quickly look to see if the eye moves to re-align.

Jan 15, 2018 · 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.

May 20, 2017 · On HINTS testing, the patient with acute peripheral vestibulopathy, as in acute viral labyrinthitis, has an abnormal HIT, showing a corrective saccade, unidirectional nystagmus and no skew deviation.

HINTS exam is an examination to differentiate clinically a central versus peripheral cause of vertigo. HINTS stands for Head Impulse, Nystagmus, and Test of Skew, and is a three-part oculomotor test.

Who to perform the HINTS exam on, how to perform it, and how to interpret the result.