Epistemis

Algorithmic Interpreter of the HINTS Protocol

Perform the eye examination in the patient who presents with Continuous Acute Vestibular Syndrome (spontaneous vertigo lasting hours or days, nystagmus and nausea) and record the findings:

Required inputs

The inputs this calculator asks for inside the app.
VariableExample value
Normal (No correction saccades)0
Abnormal (Presence of unilateral compensatory saccade)1
Unidirectional horizontal-torsional (Always swing in the same direction)0
Directional Changing (Swing right when looking right; swing left when looking left)1
Pure Vertical (Upwards / Downbeat nystagmus)2
No vertical eye drift0
Manifest vertical deviation (Deviated eye corrects when disoccluding)1

Run the calculation in the app

This page explains the score but does not run it. In Epistemis, the calculator validates units, flags values outside physiological ranges, and provides the interpretation that a number alone cannot convey.

Epistemis is educational review material. It is not a medical device, does not diagnose or prescribe treatment, and does not replace formal medical training, current clinical guidelines, or professional clinical judgment.

Specialty
Otolaryngology
Area
Specialties
Variables
7
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