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Dizziness

UnFiNiShEd CaSe – CoMe BaCk LaTeR

History of Present Illness: An elderly man was washing dishes when he became very dizzy and almost fainted.  He was a poor historian and there was a language barrier requiring an interpreter.  He seemed to endorse symptoms of both vertigo and near-syncope as well as “distant” hearing during the episode that lasted about 5-10 minutes.

Vital Signs & Physical Exam:

Vital signs are normal except for

Physical exam is otherwise normal except for

Initial Diagnostic Testing:

  • CBC: normal except for
  • Chem-7: normal except for
  • Imaging: none

What is the most likely diagnosis?

  • A)
  • B)
  • C)
  • D)
  • E)

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

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ANSWER:

  • A)
  • B)
  • C)
  • D)
  • E)

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION:

CASE LESSONS:

References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2640015/

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