The Rational Clinical Examination
David L. Simel, Drummond Rennie
Vertigo
David L. Simel, David A. Froehling, Richard Bedlack
Clinical Scenario
Topics Discussed:
dizziness, vertigo
Excerpt:
"A 58-year-old healthy man presents with dizziness. One week ago,
he had an upper respiratory illness consisting of a slight fever,
cough, and rhinorrhea. During the previous 2 days, he has had 3 episodes
of extreme unbalance lasting less than 3 to 4 minutes, when he felt
as if he were "drunk." During these episodes,
he felt nauseated, which caused him to lie down and close his eyes
until the symptoms resolved. He has had no hearing loss. Your neurologic
examination reveals no focal findings in the cranial or peripheral
nerves...."
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