Fever, Painful Ear, Sore Throat, Dizziness & Vertigo [Case #2]
This has also caused him to fall down, but without loss of consciousness. When he is still his symptoms are not present. He has a past medical history that includes diabetes and a previous MI. He has never had a stroke. Neurological exam is essentially unremarkable and there is no postural drop. His ECG is a sinus LBBB.
Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:
What is your differential diagnosis?
Name and describe a special test can be performed as part of your examination to help confirm the diagnosis?
List the clinical features that would lead you to perform a CT on a patient with dizziness?
How would you manage this gentleman (hint: is there anything non-pharmaceutical that might resolve his symptoms)?
In what circumstances might you consider prescribing medication for a patient presenting with vertigo or dizziness and what drugs would you use?