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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Neurology
Satisfied Customers: 54829
Experience:  Medical Doctor Trained at a Top Academic Institution
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60 y.o. male, having dizziness that comes and goes. Has

Customer Question

60 y.o. male, having dizziness that comes and goes. Has complained of intermittent headaches located either around his left side forehead or base of his neck. Has complained of numbness in his hands for 7 years. Usually the numbness occurs while laying
down. The headaches come 2-3 times a month and the dizziness has just began to occur, this being the 3rd time he has complained of dizziness, in the past 6 months. Other complaints have been excessive tiredness, lack of energy and ED. He also suffers from
extreme Eczema on his lower legs (since his early 30's), has been successfully treated with prednisone, (last of 2 rounds, within a year, was March 2015.) A daily treatment of l Clobasol Propionate Ointment, 0.05%, is the only medications he is on at this
time. He was hospitalized 4 times since acquiring eczema, for cellulitis, once having a 10 day intervenous dose of antibiotics after being released from a 6 day stay in hospital. History: BP is normal, Cholesterol is normal, last physical was 2 years ago,
before a total left hip arthroplasty. His heart was healthy at that time. The numbness in his hands started approximately 12 years ago. PT raced motorcycles for 30 years with a minimum of 7 concussions, during that time. He has broken too many bones to list.
He now suffers from degenerative joint disease. He showed signs of ADHD as a child, (dx for ADHD did not exist then), and had symptoms until his early to mid 50's. Other than the above he has been a healthy, active person. He works a job that requires physical
fitness and will work circles around his younger apprentices. But he suffers after a physically challenging day at work. Yesterday, he was taken off the job because of the dizziness he was experiencing and was not allowed to leave for home for several hours.
He was dx'ed by a non health care professional as having heat exhausting. His blood pressure was 145/90 and HR was slightly elevated. BP is normal now and resting heart rate is 55. My questions are, What type of physician should he start with, to get a dx?.
What type of tests should he expect to have for these symptoms, and what would your treatment look like, knowing the small bit of information presented to you here?
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Phil, MD replied 1 year ago.
any family history of anything like this?
Customer: replied 1 year ago.
None. The only on family history is the eczema.
Expert:  Dr. Phil, MD replied 1 year ago.
He absolutely needs to see an internist to start
An internist is the best at figuring out tough problems and getting him to the right specialist if needed
I would do an MRI of the brain and a heart workup to start