Case Presentation: 80 year-old-male with past medical history of hypertension, coronary artery disease, chronic systolic heart failure, diabetes mellitus type 2, chronic kidney disease stage 2 presented with acute onset of constant vertigo for 1 day. Patient had a history of intermittent moderate vertigo for 20 years, controlled on meclizine. However, at this presentation, patient’s [...]

Case Presentation: 84 year old previously healthy female with history of hypertension, Diabetes and chronic kidney disease stage 2 presented to the ER with dizziness. She reported light headedness with frequent room spinning while ambulating. She denied any other associated symptoms. In the ER she was noted to have a Blood pressure of 208/103 and [...]

Case Presentation: 59-year-old female with no significant past medical history presented to the hospital with worsening dizziness, vertigo, and diplopia in the right eye. Vital signs were unrevealing. On physical exam, she appeared nontoxic but uncomfortable with eyes closed resting on the bed. The neurologic exam revealed severe nystagmus in the right eye, intact CN [...]

Case Presentation: A previously healthy 37-year-old male presented to the Emergency Department (ED) with sudden onset nausea and dizziness that after he had turned and looked over his right shoulder. He experienced 3 episodes of emesis. Emergency Medical Services (EMS) were called due to his severe dizziness. Admit vitals were significant for a heart rate [...]

Case Presentation: A 66-year-old female with a history of primary hypothyroidism presented to the emergency department with an episode of vertigo. The patient reported a persistent spinning sensation, nausea, vomiting, and tinnitus of the left ear without hearing loss for over 10 hours. Review of systems revealed abnormal gait and findings consistent with hypothyroidism (cold [...]