70-Year-Old Man With Dizziness and Nausea

Abstract

A 70-year-old man presented to the emergency department for intermittent dizziness, nausea, and weakness over the past 3 months. His symptoms had been worsening over the past week, and he was vomiting after any oral intake for the past 2 days. Review of systems was notable for fatigue, confusion, forgetfulness, 9-lb weight loss, and worsening chronic dry cough. He denied fever, chills, headache, shortness of breath, chest pain, abdominal pain, constipation, kidney stones, urinary frequency, or pain with urination.