Spinning Around

You perform the HINTS clinical examination to identify a possible cause of this patient’s vertigo.

List two components of the HINTS examination. (0.5 marks for each correct component; max 1 mark)

You perform the HINTS examination and find that this patient has three features in keeping with a central cause for his vertigo.

List two different features found when performing the HINTS examination that indicate a central cause of this patient’s vertigo.

(0.5 marks for each correct answer; max 1 mark)

This patient has a positive HINTS examination. You are concerned about a central cause for his vertigo.

a) Which definitive imaging is required to confirm your diagnosis? (0.5 marks)

b) Justify the reason for your choice in imaging modality. (0.5 marks)