Question: A 32 year old female is referred to you for pulsatile tinnitus. Otoscopic exam reveals a reddish hue behind the right tympanic membrane. You notice that her voice is slightly hoarse which she remarks has been present for 6 months. Oral cavity examination reveals fasciculations of the right hemi tongue. What is your presumptive diagnosis? [Answer will be posted with next week's new question]
Answer to last week's question, "It's All In The Details" (May 30, 2016):
Subacute thyroiditis.