{"id":53277,"date":"2019-07-22T15:39:28","date_gmt":"2019-07-22T14:39:28","guid":{"rendered":"https:\/\/temporary.mindd.dev\/?p=1565"},"modified":"2024-05-17T10:22:08","modified_gmt":"2024-05-17T08:22:08","slug":"vertigo","status":"publish","type":"post","link":"https:\/\/huisartsenpostendelimes.nl\/en\/nieuws\/vertigo\/","title":{"rendered":"Vertigo"},"content":{"rendered":"\n<p><em>Source: General practitioners emergency care<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/temporary.mindd.dev\/wp-content\/uploads\/2019\/07\/Afbeelding-HIT-draaiduizeligheid.png\" alt=\"\" class=\"wp-image-1566\"\/><\/figure>\n\n\n\n<p>You know the drill. During shift at the station that patient with acute\nvertigo. Is this a harmless peripheral cause or should I still\nThink of a central cause like a cerebellar infarction? Now there&#8217;s a test\nto help to differentiate which is also in the NHG standard Dizziness\nis mentioned.<\/p>\n\n\n\n<p><strong>Head Impulse Test\n(HIT)<\/strong><\/p>\n\n\n\n<p><strong>Preparing materials<\/strong><\/p>\n\n\n\n<p>Place two chairs facing each other, so that the patient is at eye level\ncan sit across from you. Have a container\/cup ready for when the patient\nduring the examination becomes nauseous and vomiting.<\/p>\n\n\n\n<p><strong>Preparation<\/strong><\/p>\n\n\n\n<p>Have the patient sit at eye level across from you.<\/p>\n\n\n\n<p>Explain the examination to the patient.<\/p>\n\n\n\n<p>Ask the patient to fixate on the tip of your nose throughout the examination.<\/p>\n\n\n\n<p><strong>Explanation<\/strong><\/p>\n\n\n\n<p><strong>Holds the head of the\npatient on both sides.<\/strong><\/p>\n\n\n\n<p>First, gently turn the head a few times 20 degrees to the left and to\nright, until the patient is used to it and the neck muscles relax sufficiently\nbe.<\/p>\n\n\n\n<p>Ask the patient to continue to fixate on the tip of your nose and open their eyes.\nhold.<\/p>\n\n\n\n<p>Move the patient&#8217;s head 20 degrees to the right, then turn the\nHead back to the center suddenly and as quickly as possible, see test.<\/p>\n\n\n\n<p>The research may also be carried out the other way around; rotate the head from the\nas far to the right as possible. <\/p>\n\n\n\n<p><strong>Pay attention to the movement of\nThe Eyes<\/strong><\/p>\n\n\n\n<p>When the eyes first move in the direction of the lateral movement\nand then compensatory &#8216;refixing&#8217; (refixation accade) then the test is\npositive. <\/p>\n\n\n\n<p>If the patient can continue to fixate, then the test is negative.<\/p>\n\n\n\n<p>Repeat the test to the left, see test.<\/p>\n\n\n\n<p><strong>Aftercare education<\/strong><\/p>\n\n\n\n<p>A positive HIT test confirms a peripheral cause.<br> A negative HIT test suggests a central vestibular syndrome and leads to consultation with a neurologist. Want to see a test? Check out <a href=\"https:\/\/www.youtube.com\/watch?v=Wh2ojfgbC3I\">https:\/\/www.youtube.com\/watch?v=Wh2ojfgbC3I<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Source: Kaderhuisartsen emergency care You know the drill. During shift at the station, the patient with acute vertigo. Is this a harmless peripheral cause or should I think of a central cause like a cerebellar infarction? Now there is a test to help to differentiate that is also called in the NHG standard Dizziness. Head Impulse Test (HIT) Preparing materials Place two chairs facing each other so that the patient can sit opposite you at eye level. Have a container\/cup ready in case the patient becomes nauseous and vomiting during the examination. Preparation Have the patient sit on [&#8230;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"categories":[47],"class_list":["post-53277","post","type-post","status-publish","format-standard","hentry","category-intern-nieuws"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vertigo - Huisartsenposten De Limes - English<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/huisartsenpostendelimes.nl\/en\/nieuws\/vertigo\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vertigo - Huisartsenposten De Limes - English\" \/>\n<meta property=\"og:description\" content=\"Source: Kaderhuisartsen emergency care You know the drill. 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