11. Your patient is a 54 year old female that presents with a gradual onset of dizziness, with nausea. They also are having some ataxia. These symptoms started this morning. Neurologic exam is otherwise negative including no evidence of Nystagmus. She has no vision complaints or recent illnesses. Based upon this data, what is the most likely given this clinical scenario?
A. This patient has labyrinthitis. Start the patient on Antivert, encourage plenty of fluids, and discharge the patient home with reassurance.
B. This patient has vestibular neuritis. Start the patient on Valium, encourage plenty of fluids, and refer the patient to physical therapy for vestibular therapy.
C. This patient is presenting with a history and exam concerning for a cerebellar infarct, order a head CT scan and admit the patient to the hospital.
D. This patient has Meniere's disease. Reassure the patient they are going to be okay. Start the patient on Ativan PRN.
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