HINTS Exam
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Purpose
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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:
- The Head Impulse Test (HI-)
- Characterization of Spontaneous Nystagmus (-N-)
- Test of Skew (-TS)
The goal of the HINTS is to guide the practitioner to determine whether the AVS is peripheral or central in origin, and also determine the need for further examination including neuroimaging.[1][2]
Technique
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Describe how to carry out this assessment technique here
Evidence[edit | edit source]
Provide the evidence for this technique here
Resources[edit | edit source]
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References[edit | edit source]
- ↑ Quimby AE, Kwok ESH, Lelli D, Johns P, Tse D. Usage of the HINTS exam and neuroimaging in the assessment of peripheral vertigo in the emergency department. J Otolaryngol Head Neck Surg. 2018;47:54.
- ↑ Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-10.
