What would be your next step

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Question: You are seeing a 68 year old patient in a primary care office with symptoms of acute onset of vertigo and vomiting without nausea. On exam she is ataxic and has a positive Rhomberg sign. Her pupils are equal. She has vertical nystagmus. What would be your next step? Group of answer choices Reassure her that she has an inner ear infection Test her oculovestibular reflex by instilling cold water into her ear Inform her that you are concerned that she might be having a stroke, call 911 and have her transported to the nearest emergency room Refer her to neurology

Reference no: EM133618803

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