Patient Profile S.H. is a 25-year-old man who comes to the emergency department with a history of one day of severe vertigo and vomiting. Subjective Data • Has experienced vertigo spells with right-sided tinnitus a few times this past month • States he becomes nauseous when he attempts to sit up • Vertigo is worse with head movement • Has been crawling out of bed for fear of falling • Currently complaining of nausea Objective Data Physical Examination • Blood pressure 139/72, pulse 90, temperature 97.7° F, respirations 22 • Spontaneous nystagmus in the right eye • Vomited two times in past 30 minutes • Intermittent diaphoresis Diagnostic Studies • Audiogram: severe sensorineural hearing loss at 35.0 dB, with a predominance of low frequency impairment in the right ear • Tuning Fork – Weber Test: right sensorineural hearing loss Discussion Questions 1. What is vertigo? How is it different from dizziness? 2. Based on the assessment, what do you think S.H. has and

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Patient Profile S.H. is a 25-year-old man who comes to the emergency department with a history of one day of severe vertigo and vomiting. Subjective Data • Has experienced vertigo spells with right-sided tinnitus a few times this past month • States he becomes nauseous when he attempts to sit up • Vertigo is worse with head movement • Has been crawling out of bed for fear of falling • Currently complaining of nausea Objective Data Physical Examination • Blood pressure 139/72, pulse 90, temperature 97.7° F, respirations 22 • Spontaneous nystagmus in the right eye • Vomited two times in past 30 minutes • Intermittent diaphoresis Diagnostic Studies • Audiogram: severe sensorineural hearing loss at 35.0 dB, with a predominance of low frequency impairment in the right ear • Tuning Fork – Weber Test: right sensorineural hearing loss Discussion Questions 1. What is vertigo? How is it different from dizziness? 2. Based on the assessment, what do you think S.H. has and

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