上集討論過急性眩暈的鑑別診斷
這集要進入如何使用比MRI還準的HINTS測試
幫助你區分出病人是因為中樞神經或周邊神經引起的眩暈！
Timecode:
00:00 Frank 近況與截肢個案們
08:40 Elain近況&婦產科醫師的合作模式
17:50 Roger & Stanley 如何進入Specialist呢?
23:44 前庭眩暈相關的診斷有哪些
25:55 HINTS: 比MRI還準的測試 (Head Impulse (Test), Nystagmus, Test of Skew)
27:48 Head Impulse Test
32:13 Spontaneous Nystagmus和Gazed Nystagmus要注意甚麼
36:50 Test of Skew
38:50 HINTS “Plus”：急性聽力受損可能是中風?
39:35: 買不起Frenzel Goggles怎麼辦，用Penlight Cover Test
40:52 Head Shaking Nystagmus和Bow and Lean Test
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Reference:
Kattah JCUse of HINTS in the acute vestibular syndrome. An OverviewStroke and Vascular Neurology 2018;3:doi: 10.1136/svn-2018-000160
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;40(11):3504-3510.