The HINTS exam

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.

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

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

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

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

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!!

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

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.

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!

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.

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!

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

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

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

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

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!

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 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 !

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!