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A 28 year-old woman with severe vertigo.(GET HELP)
A 28 year-old woman comes to the ED after awakening with severe vertigo. She is just getting over a
cold, but otherwise had been feeling well, with no ear pain, tinnitus, or hearing loss. The room feels like it
is spinning and she feels safer walking along the wall, for support. She has never had symptoms like this
before and takes no medications. On examination, she has normal vital signs and left-beating
nystagmus in all directions of gaze.
1) Summarize the case briefly, including neuroanatomic localization and pathogenesis.
2) What is the most likely diagnosis? Name 1-2 alternative diagnoses, and discuss briefly why these
are less likely.
3) What additional information (history, exam, laboratory or other studies, consultations) would you
obtain? What laboratory findings would you expect if your most likely diagnosis is correct?
4) Assuming your most likely diagnosis is correct, how would you manage this patient? How would you
monitor her condition and its treatment? What is the prognosis?
A 28 year-old woman with severe vertigo.
A 28 year-old woman comes to the ED after awakening with severe vertigo. She is just getting over a
cold, but otherwise had been feeling well, with no ear pain, tinnitus, or hearing loss. The room feels like it
is spinning and she feels safer walking along the wall, for support. She has never had symptoms like this
before and takes no medications. On examination, she has normal vital signs and left-beating
nystagmus in all directions of gaze.
1) Summarize the case briefly, including neuroanatomic localization and pathogenesis.
2) What is the most likely diagnosis? Name 1-2 alternative diagnoses, and discuss briefly why these
are less likely.
3) What additional information (history, exam, laboratory or other studies, consultations) would you
obtain? What laboratory findings would you expect if your most likely diagnosis is correct?
4) Assuming your most likely diagnosis is correct, how would you manage this patient? How would you
monitor her condition and its treatment? What is the prognosis?
(GET HELP)