<s>[INST] I am a 32 female and for the past week I have been experiencing pulsatile tinnitus, it happens usually but not always at night when I lean over and reach over my left side, I hear a wooshing sound on my right side and sometimes it is so loud that even my husband can hear it if he comes close enough to my right side. Also I have been experiencing numbness and tingling in my hands if I have my elbows bent (like holding/reading a book) Any idea what could be causing this? [/INST] the numbness in your hands is probably a pinched nerve in your wrist/elbow/or neck and not a big deal.  the pulsatile tinnitus is not related and needs to be checked out sooner rather than later as you could have a blood vessel malformation </s>