"Dizziness"

A young service-member checked into the clinic the other day with a complaint of 'dizziness'. I asked the tech if it was 'light-headedness' or 'vertigo' and got a blank stare so I just asked them to check them in to me.

Seems three days prior while driving this young man had sudden vertigo while driving and had to pull the car over for a bit. No headache, but also noticed, after getting home, that walking was a bit difficult and that holding things in his right hand was a bit dicey.

So three days later he comes to the clinic and I tell him he has to go to the ER because he has likely had a stroke. He helped me in this diagnosis by being Romberg positive, ataxic, and dysmmetric.

The ER calls me back a few hours later and says they are going to send him home. The CT was normal. Probably a medication reaction. Home? What did the MRI show? Huh? You didn't get one?

They got one after I made a few points and whaddya know.... stroke of unclear age. I was glad I advocated for the MRI. So, I ask you, my peeps. What happened next? And oh by the way, the guy's head hurt a bit.... not all of a sudden, but he had a headache.

Take it away!