Abstract
A 50-year-old woman with a medical history of controlled hypertension and tobacco abuse presented to the emergency department with sudden-onset vertigo. The patient described feeling like the room was spinning. The symptoms began while she was sitting at the table eating. In addition to feeling dizzy and lightheaded, she also experienced heart palpitations. The patient denied having chest pain, dyspnea, nausea, vomiting, diarrhea, visual changes, hearing changes, paresthesia, or focal neurologic deficit. Her husband called emergency medical services, who transported her to the emergency department. Her prehospital glucose check en route was 110 mg/dL, and her 12-lead electrocardiogram (ECG) showed normal sinus rhythm. David Warren is Emergency Nurse Practitioner, Questcare Partners, Dallas, TX.
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