Schwindel: You need HINTS if patient has vertigo, nausea, unsteady walk

[Sitzkissen]

HINTS

head impulse - patients with peripheral vertigo will have abnormal (positive), rapid rotation of the head toward the affected side will result in loss of fixation and movement of the eyes away from the target.

nystagmus - look straight ahead, to the left, and to the right, while the direction of nystagmus is observed.vertigal nystagmus ->central vertigo

test of skew - eyes are alternately covered.  vertical misalignment -> central cause