IMPORTANT!!! You should first screen your dizzy patients for central features that would not be expected in vestibular neuritis and may signify a central cause such as stroke. And they are: New Significant headache or neck pain Focal weakness or paresthesias Any dangerous D's - diplopia, dysarthria, dysmetria, dysphonia, dysphagia Vertical nystagmus at rest (not during the Dix-Hallpike test) Inability to walk unaided You should carefully consider a central cause if your patient has any of these central features, irregardless of their HINTS exam findings.

@abril430

4 ай бұрын

thank you for this important update on Hints exam

I wish KZread existed when I was in medical school. What a great teaching video thanks.!

@PeterJohns

7 жыл бұрын

Thank you. Videos are a great way to bring the patient to the learner.

@nasonryan6760

4 жыл бұрын

Can't agree more!!. Much better way to learn something than to read textbook and imagine how it works.

@joeybacus6734

3 жыл бұрын

For my wish... I hope medical school be more like KZread. Its ironic that it will just take a series of free video to understand concepts I paid thousands in tuition fee to learn in medical school...

@sunilkumarsoni4810

3 жыл бұрын

Yes I wish the same

@arthurleonepimenta2266

2 жыл бұрын

Thank you for the excellent video, dr. Peter.

Outstanding video. Finally, someone explains properly why and "abnormal" test is reassuring. Thanks for making this Dr. Johns. Great work.

One of the most useful medical videos on KZread. Period. Thank you. Update: I still go back to this video everytime I need a refresher of this important exam!

Oh my goodness .. I think I just died and gone to heaven!!! Wish all med school lectures had your flair for explanation and teaching! Thank you Dr Johns.. this video have upgraded my visual understanding of the assurance of abnormal testing. As students we don't often get to see normal and abnormal side by side (like this) so on the ward our confidence in diagnosis can be affected. My utmost gratitude and aspiration to you! Charlie

EXCELLENT video. We need more videos like this. Most of them talk about topics but do not show the actual practice with the patient taking place. Thank you sincerely.

This is not only the best video I have seen on this subject, it has also made me realise how I need to deploy slow-motion video in our medical media workflow, and how I need to demonstrate comparative presentations in our videos. Thank you so much for all your time and effort Dr Johns.

I am just diving into the world of vestibular rehab as a physical therapist and I appreciate this video so much! Seeing actual video clips of people with abnormal findings and your explanations is invaluable! THANK YOU so much!!

Amazing! Just amazing. I am speechless. I keep coming back to watch this over and over again ever now and then. Thank you so much. Very clear, simply the best.

This is the most clearly presented information I have ever found on the HINTS exam I love it!

Learned about this exam during the vestibular unit of my neuro dysfunction class in PT school, so grateful that my professor shared the link to this video as a recommendation for comprehension!

God, this is incredibly good! Im currently studying for a otorhinolaryngology test and ,at the vertigo class, my teacher just mentioned the HINTS test and didnt give too much of an importance to the matter.. Thanks for the intuitive teaching!

What a great video. I have watched it many, many times. How clearly did he explain ! I really appreciate this gentleman's effort.

This was one of my favourites medical video I have ever seen! My last neurology exam will be in two weeks, and you helped me a lot with this video!! I am so grateful for these excellent teaching videos like this!

I will start my residency in ENT in a few months. This video helped me a lot in my studying! Thank you, Doctor, for making things easier for us !

By far the best explanation I have seen on the HiNTS exam, thank you!

Excellent video. The most clearly presented information I've ever found on the HINTS exam. Thank you!

Best video on the HI/N/TS exam on the net. Thanks for this Dr Johns

This video is fantastic, and like many others here, I could not understand this concept after reading multiple articles. After this 8 minute video I now not only understand what to expect for normal/abnormal, but how to perform the test and apply the results to differentiate between vestibular neuritis vs a stroke. Thank you very much Dr. Johns!

Just amazing, and I will start performing these tests on my patients in ED as appropriate.

I am a junior doctor working in the NHS, UK. I’ve always found it difficult to perform and interpret HINTS test on patients with Vertigo. I’ve seen loads of videos, read loads of posts and I think this is best video ever on HINTS test. Thank you so much!

Fantastic! I'm so impressed by all your videos. This is super clear instruction with great demonstrations. Thank you so much.

This is by far one the best, if not the best, video on HINTS exam. Thank you, sir. Very well done! I will share with colleagues and medical students.

I am currently a paramedic student doing a case study on dealing with vertigo in the pre-hospital environment. This is a brilliant video to expand on differential diagnosis and look at whether hospital admission is appropriate. Many thanks for this video. Well put together and explained so even quite a dim person like me can understand.

Fantastic video! I've never seen this so well explained in visual terms. I'am starting in neurology residency in a few weeks and that just cheered me a lot. Thank you for sharing this!

Fantastic video!! I've always struggled with tests for vertigo but finally understand it !

This is THE BEST video of the Hints exam. Thank you so much !!!

What an excellent teaching video - so clear! Thank you very much!

Excellent demonstration. Thanks for taking the trouble to make these videos.

Great video, professor! I am from Uruguay and this video was deeply helpful. Could not imagine someone explaining it better. Congrats on the dedication and how articulate you are!

Thank you so much for this Dr Johns, my doubts on how to perform the exam steps have been cleared!

Awesome explanation with patients...live long and spread knowledge

What an amazing teaching video 👏 I had to perform it on a patient yesterday and I'm glad I've seen this video

Excellent! Thank you and please thank your patients as well.

Love this video as a second year resident. Fantastic instructions and the actual patient videos made it extremely clear.

@PeterJohns

5 жыл бұрын

Thanks!

Fantastic video . A pleasure to the eyes

best video of hints and explanation i've found so far! Thank you!!

Loved the video. Cleared up everything. Keep them coming!

Couldn't find better explanation. Great video and great job!

This was a very well explained video! Many thanks for the details and distinctions !

Amazing video! Straight to the point explanation. 10/10

Thank you so much for this video, absolute gold!

medical resident here, absolutely fantastic explanation, thank you.

Thank you for the explanations and great demonstrations on your patients. Subscribed!

Great video, using this as clarification on methods in my 5th year of medical school in Denmark. Thank you!

Thank you for the video, it's really informative, the examples with the patients were the highlight! Greetings from Brazil!

The last question really helped to consolidate everything

Thank you. I am a physical therapist in Florida and learned a lot from your video.

Best video on this examination I have found! Thank you.

This was god sent. Thank u, good sir!

Thank you doctor for your beautiful explanations !

Excellent Video Dr.Johns, Thank You.

You did an excellent job explaining this. Thank you!

very very helpful for my ENT case presentation this week! thank you doctor

Great video, clearly explained and helpful. Thank you for the work

Glad to find this video. I had the Hints test but no clue what it actually was. Very reassuring that mine came out not worrisome. Starting PT tomorrow for the nuritius. Hopefully I can get it fixed pretty quickly.

Great series of teaching videos dealing with a tough subject! Hearty congratulations!

@PeterJohns

5 жыл бұрын

Thanks!

i love your channel so much im watching all your videos on a friday night. Thank you for this content, i´ve been reading about this tests but nothing is like watching someone doing and learning from them. a friend from brazil.

Best video ever! Many thanks

Thanks for the teaching! Cheers from Spain!

Awesome vídeo. Thank you for this great class!!!

I learned the acronym INFARCT to memorize the results suggesting a vascular cause: Impulse Normal / Fast-Phase Alternating / Refixation on Cover Test. Thanks for the class!!

@PeterJohns

5 жыл бұрын

Yes, David Newman-Toker does like his acronyms. :) I personally think that if you need an acronym to remember how to interpret the results, you probably don't understand how to perform and interpret the tests well enough to reply on them. For instance, "Refixation on Cover Test" fits into the "INFARCT" acronym perfectly in terms of the letters "RTC" but in fact doesn't describe the vertical or slanted skew which is what you are looking for. And "Fast phase Alternating" is another example of the descriptive words being changed to fit the acronym. So it's more of a backronym than an acronym. In my opinion, it would be better to refer to a chart such as I made in my Big 3 of vertigo video.kzread.info/dash/bejne/f6uW06yvfafVnrg.html .

excelente video, clear, no beating around the bush; directly to indispensable knowledge. Thank you

@PeterJohns

7 жыл бұрын

Ha! Thank you! People who know me would certainly agree that I don't beat around the bush!

Lovely video! Congratulations!

Most learning I've done about EM in years! Thanks!

@PeterJohns

7 жыл бұрын

Thank you for your kind words.

Amazing video! Really helpful! Thank you very much!! Wish there where more videos like this one! Greetings from Spain!

such an amazing video. this helped me so much in my neurology-course at medschool. thank you so much

Exception video, loved your presentation 😊

Спасибо за видео, очень здорово и информативно! Всегда делаю этот тест пациентам с головокружением

Thanks for a great video Dr Johns!

You made HINTS exam so simple. Thank you.

Thank you for providing an example of abnormals.

That is very clear " bedside teaching", thank you.

Thank you for your video. (I cannot recall if I've commented before, I tend to be more of a silent viewer). But your video is immensely helpful, and I direct a lot of my more junior colleagues to watch it for their learning too. Thanks for sharing your knowledge and skills.

Thanks for sharing! Great video!

Great video explaining normal and abnormal and I was thinking about the question you posted at the end of the video before it was posted! Greetings from a Mexican Dr that just passed the step 1!

This is amazing - thank you so much!

Fantastic video, God bless Peter Johns

Amazzzing. I read about it but this makes a world of difference. You sir have earned my man of the day vote. Thank you very much

@PeterJohns

7 жыл бұрын

Hey, glad you found it useful! Thanks so much for your remarks.

I finally understand it thanks to you. Thank U!

Great video, very informative and clear

This is an amazing video and explained it very clearly. Keep up the great work. I will add to my presentation for the juniors.

great video with excellent explanation - thanks

Fantastic video! thank you so much !!

thank you for this precious video sir!

Excellent, thank you for the video!

Thank you for a wonderful explanation.

Thanks doctor never seen better

Thanks from Mexico, great video!

Fabulous video, thank you!!!

THANK YOU! very illustrative and informative

An amazing video to understand the differentiation of vertigo .

This video was very helpful! Many thanks!

Fantastic video, thanks for doing this.

Excellent video and thank you.

Thank you so much Mr Peter Johns.

Definitely the best video out there on this stuff, which is poorly explained elsewhere. Videos were great. Thanks!

@PeterJohns

7 жыл бұрын

Thank you!

Thank you, one of the most useful videos

Thank you so much Professor! Awesome teaching video.

Great video!!!easy to practice and detail explanation