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Woman had episodes of dizziness in the past month


Problem: An 83-year-old woman comes to the office because she has not had episodes of dizziness in the past month. Her husband died 1 year ago. She has continual unsteadiness that is unchanged by position. There is no new numbness or weakness. She has not fallen, but the unsteadiness has caused her to turn down invitations and stop going to her weekly bridge game. She has not beel sleeping well. History--HTN, OA, Glaucoma. Examination: She appears thin but in no distress; she has lost 2.3 kg [5lb] since her last visit. Normal orthostatic vital signs. Grossly intact visual acuity and hearing. She has full strength. Sensory examination is normal to pinprick and vibratory sensation in all extremities. 2+ reflexes throughout. Gait is slow and hesitant but narrow based and steady. What is the next best step? Need Assignment Help?

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Other Subject: Woman had episodes of dizziness in the past month
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