NR 603-Week 1-Meniers Disease
What is Meniere's disease? - answer Meniere disease is a chronic condition of the inner
ear characterized by recurrent vertigo and hearing loss.
What are the four symptoms characterized by Meniere's disease? – answer dizziness
described as spinning vertigo,
low-frequency sensor neural hearing loss,
tinnitus,
a feeling of fullness in the affected ear.
Pathophysiology of Meniere's Disease - answer 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
Causes of Meniere's Disease - answercaused by viral infections or immune system-
mediated mechanisms
Clinical Presentation of Meniere's Disease - answerEarly 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 tinnitus
fluctuating in intensity, and unilateral hearing loss
Diagnosis of Meniere disease is based on - answerclinical criteria and/or response to
treatment;
however, it is important to differentiate Meniere disease from other causes of vertigo
and hearing loss
Physical Examination of Meniere's disease should include - answerA 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.
What is Meniere's disease? - answer Meniere disease is a chronic condition of the inner
ear characterized by recurrent vertigo and hearing loss.
What are the four symptoms characterized by Meniere's disease? – answer dizziness
described as spinning vertigo,
low-frequency sensor neural hearing loss,
tinnitus,
a feeling of fullness in the affected ear.
Pathophysiology of Meniere's Disease - answer 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
Causes of Meniere's Disease - answercaused by viral infections or immune system-
mediated mechanisms
Clinical Presentation of Meniere's Disease - answerEarly 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 tinnitus
fluctuating in intensity, and unilateral hearing loss
Diagnosis of Meniere disease is based on - answerclinical criteria and/or response to
treatment;
however, it is important to differentiate Meniere disease from other causes of vertigo
and hearing loss
Physical Examination of Meniere's disease should include - answerA 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.
