Reference no: EM133154250

The patient is a 50-year-old male who comes to the Family Practice Clinic at the University Medical Center complaining that he felt dizzy, like his head was "spinning," and this makes him very nauseous. He said he has hearing loss in his right ear. He also said he has trouble with his vision, especially focusing because his eyes were moving erratically on their own. Upon questioning, the patient said he had what the physician interpreted as a viral upper respiratory infection last month and his symptoms started after the "cold." The patient also admits to consuming large amounts of alcohol on an almost daily basis and is a smoker. Based on the patient's history and the physical examination performed, the physician concluded the patient had labyrinthitis because the patient's history makes him at high risk for developing this condition. The physician prescribed antihistamine and anti-nausea medications to reduce his symptoms. He advised the patient to avoid alcohol, not to drive, and to avoid bright lights and video games. The patient was given a return appointment in two weeks. The final diagnoses documented by the physician for the visit were viral labyrinthitis, chronic alcoholism, and cigarettes/nicotine dependence.

First-Listed Diagnosis: __________

Secondary Diagnoses: __________