If a patient complains of a sudden
cough with gag reflex along with decreased hearing and ringing in the ears, vocal chord paralysis, laryngitis, night sweats. (Patient has a history and previous diagnosis of Smouldering Multiple Myeloma High risk.)
CT Scan with contrast reveals a 6 mm Basilar Artery Aneurysm, forward to Neurosurgeon, NS says no link between present symptoms and aneurysm. Forward to ENT. ENT say use Flonaise, irritants/allergens most likely cause of present symptoms.