HINTS Exam for Vertigo Explained - Head Impulse, Nystagmus, Test of Skew - Clinical Skills - Dr Gill
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[General practice] การหมุนหัว HINT test ใน Acute vertigo VS CT/MRI brain ..... มันช่วยได้เยอะจริงๆ Acute vertigo ถ้ามี neurodeficit , Finger-to-Nose , Dysdiaochokinesia , Truncal ataxia สงสัย central/stroke นะครับ ไม่ต้องมาตรวจตรงนี้ให้มากความ ...... Non-contrast CT sensitive ในการ diagnosis acute vertigo อยู่ที่ 38%, MRI จะอยู่ที่ 80-93% Acute vertigo pure (spinning,n/v) ถ้าไม่แน่ใจ Test นี้ช่วยได้ดีเลยครับ HINT test sensitivity/specificity ในการแยก acute stroke จาก peripheral vertigo อยู่ที่ 9
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