Cocaine Heroin Codeine Diazepam Ethanol 2.A 45 year old woman has a one year history of intermittent tingling in the fingers of both hands. Symptoms occur after awakening, and after housework.
Physical examination is normal.
19 year old female student sees you for sudden onset of severe vertigo, nausea, vomiting and diaphoresis. The patient has normal hearing, left nystagmus and otherwise normal neurologic examination. The vertigo lasts three weeks. If initial work-up proves negative, prognosis is generally good. If upper and lower endoscopy are non-contributory, a small bowel barium study should be performed.