Patient History: A 75-year-old man presents to the emergency room with the sudden onset of nausea and vomiting. His medical history is notable for coronary artery disease and well-controlled hypertension. Physical Examination: On examination, he refuses to open his eyes or move his head, but when finally coaxed to sit up, he immediately starts to retch and vomit. Rotational nystagmus is noted. He cannot walk because of the dizziness and nausea that walking evokes.

His non-contrast brain CT scan is read as normal for age. What is the next best step in managing this patient? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case Files Internal Medicine The answers are posted in the comments section Click here .