A previously well 85-year-old woman with history of hypertension, hyperlipidaemia and gout presented to the emergency department with a 2-week history of vertiginous giddiness and appetite loss. Lab tests were normal apart from mild transaminitis. Ultrasound of the hepatobiliary system revealed gall bladder sludge. Magnetic resonance imaging (MRI) of the brain was unremarkable and she was discharged with a diagnosis of peripheral vertigo.
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