Date post: | 24-Dec-2015 |
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Meniere’s Dis. Case 1 History
52 y/o female Diagnosed with Meniere’s disease and
plan of treatment was through diuretics and diet
Been experiencing severe monthly episodes
At this visit intratympanic gentamicin injection was performed on the left ear
Case 2 History
Diagnosed with Meniere’s disease 10 years ago in the right ear
Now experiencing trouble that looks like left sided Meniere’s
Reports dizziness feels like motion sickness.
Doctor would like to test for Lyme disease
Recommendation
Options:– Transtympanic steriod/gentamicin injection– Endolymphatic sac decompression &
labrynthectomy– Vestibular nerve section
Case 4 History
55 year old female 4 months prior the pt. was awoken by a large
screech in her right ear, when she opened her eyes she noticed intense vertigo causing excessive vomiting
Pt was admitted for four days into the hospital MRI and CT were negative for any pathology, diagnosed with vestibular neuronitis at that stay
History Cont’
She notes that she is unable to sleep laying back on her bed or turning to the right due to vertigo
She states that vertigo only occurs when moving her head rapidly from side to side
Non-pulsitile tinnitus is constant in the right ear
Diagnosis
Differential diagnosis includes idiopathic Meniere’s disease as one of the possibilities – Dr. requests to see scans to determine diagnosis
Case 5 History
73 year old female Diagnosed with Meniere’s disease In the last year she has had 6
vertiginous attacks
Case 6 History
54 year old male Since 1997 noticed a gradual and
fluctuating hearing loss Reports feeling aural fullness and
dizziness Constant tinnitus is present