Ms. V is a 32-year-old assistant professor in a demanding discipline. After a st

Question

Ms. V is a 32-year-old assistant professor in a demanding discipline. After a stressful year, she decided to take an extended vacation at a mountain resort in Colorado. A few months ago, she had visited her physician, complaining of a ringing in her ears accompanied by dizziness and nausea. After a few weeks, the problem seemed to go away, but within a few days after arriving in the mountains, she experienced loud tinnitus in one ear, along with dizziness and nausea.

1. Relate the pathophysiologic changes during an episode to the signs and symptoms Ms. V experienced. (See Ménière’s Syndrome.)

2. Discuss the conditions that could cause or exacerbate an attack, with special attention to the patient’s circumstances. (See Ménière’s Syndrome.)

3. Discuss the course of this syndrome and the treatments available for the patient. (See Ménière’s Syndrome.)

Explanation / Answer

Dizziness releted to inner ear is one of the most common type with one ear results from

disturbance in blood circulation ,

increase fluid pressure in inner ear,

pressure on balance nerve ,

physiological changes in balance nerve,

allergy and viral infection

symptoms -

recurring episodes of vertigo

hearing loss

tinnitus

feeling of fullness in ear

management and treatment

prevent from injury- patient having dizziness may at risk of injury, prevent the patient from vehicle driving,keep floor clean and dry,away from machinery work and keep the patient away from high alerting area

there is no exact treatment for meniere's disease only symptomatic treatment followed

for motion sickness -diazepam,anti nausea - promethazine

for middle ear infection- gentamycin, steroids

if fluid in ear -drain fluid

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