Foresee Your Next Patient

摘要

A 69-year-old woman with hyperlipidemia and chronic obstructive pulmonary disease presented to the emergency department with progressive, episodic dizziness. Episodes had occurred up to 10 times daily and had lasted from a few minutes to approximately an hour. She described this sensation as "the room spinning," occasionally associated with nausea. She denied cardiac symptoms, focal weakness, changes in vision or hearing, otalgia, tinnitus, or ataxia. She had a 50 pack-year history of cigarette smoking and denied current or prior alcohol. Her medications included low-dose aspirin and lovastatin.