History: A 48 y.o women complains of dizziness/vertigo for two days. Symptoms worsen with activity including head movements and bending forward. She also complains of sweatiness and feeling faint. There is some ringing in the ears. She has a history of CVA and loss of hearing. Increased sinus drainage over the past two weeks.
She denies chest pain, shortness of breath, slurred speech, facial numbness, arm or leg weakness, difficulty swallowing. No change in symptoms with moving supine to sit to stand.
History: A 48 y.o women complains of dizziness/vertigo for two days. Symptoms worsen with activity including head movements and bending forward. She also complains of sweatiness and feeling faint. There is some ringing in the ears. She has a history of CVA and loss of hearing. Increased sinus drainage over the past two weeks.
She denies chest pain, shortness of breath, slurred speech, facial numbness, arm or leg weakness, difficulty swallowing. No change in symptoms with moving supine to sit to stand.
Meds: calcium channel blocker (CCB), beta blocker (BB), angiotensin converting enzyme inhibitor (ACE inhibitor), clonidine
Differential diagnosis:
Working diagnosis:
Goals/plan for this patient:
Follow up in 1 week. Sooner if needed.