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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Vertigo
David A. Froehling, Marc D. Silverstein, David N. Mohr, Charles W. Beatty
Clinical Scenarios


Topics Discussed: dix-hallpike maneuver, dizziness, pathologic nystagmus, vertigo

Excerpt: "A 52-year-old woman was admitted to the hospital because of nausea, a constant spinning sensation, and vomiting of 24 hours' duration. Any movement of her head made these symptoms worse. On examination, she had bilateral horizontal spontaneous nystagmus. Two days later, after symptomatic improvement, she was discharged. At follow-up 2 weeks later, her symptoms and nystagmus had completely resolved...."
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