Nr 603-Week 1 Exam-Meniers Disease Questions And Answers

Diagnostic criteria for Meniere's disease include {Ans: two episodes of spontaneous vertigo lasting at least 20 minutes each, audiometrically documented hearing loss, tinnitus or aural fullness, and the exclusion of other causes}Pathophysiology of Meniere's Disease {Ans: Meniere disease involves excess fluid and pressure in the labyrinth of the inner ear that episodically distends the structures of the labyrinth and damages the vestibular and cochlear hair cells}Physical Examination of Meniere's disease should include {Ans: A thorough head and neck examination to exclude acute otitis media or another infectious process a comprehensive neurologic examination a On physical examination, sound will lateralize to the unaffected ear in the Weber test; in the Rinne test, air conduction will be greater than bone conduction. Spontaneous nystagmus occurs during attacks and may not be present between attacks.}If Meniere's disease is suspected a referral to _____________ should be made {Ans: otolaryngologist}Causes of Meniere's Disease {Ans: caused by viral infections or immune system-mediated mechanisms}Clinical Presentation of Meniere's Disease {Ans: Early in the disease process-patients have intermittent attacks of vertigo that last from minutes to hours, often associated with nausea and vomiting. These episodes are commonly accompanied by pressure in the ear, low-pitched