Dizziness/Inner Ear

Question 1

• Non Episodic Vertigo (severe, continuous - weeks)
• HEARING LOSS
• Progressively gets better over time
• Nausea, vomiting
• MOI?

Answer 1

Labrynthitis

• bacterial or viral

Question 2

• Non Episodic Vertigo (severe, continuous - weeks)
• NO HEARING LOSS
• Nausea, vomiting
• MOI?

Answer 2

Vestibular Neuritis

• bacterial or viral (kids)

Question 3

• 20-60, Autoimmune
• Episodic Vertigo (2 - 4 hrs) (minutes - days)
• HEARING LOSS + TINNITUS (SN, unilateral mc)
• Feeling of fullness in the ears
• Nausea, vomiting

Answer 3

Meniere’s Disease

Question 4

• > 60, F (any age)
• Short duration vertigo (sec - min)
• (initiated with movement)
• +/- nausea/vomiting
• Management?

Answer 4

BPPV

Test: Dix-Hallpike
Treatment: Epleys

Question 5

• GRADUAL ONSET of sensorineural hearing loss (A>B,
  Lateralize to good ear)
• Dizziness, Tinnitus

Answer 5

Acustic Neuroma

Question 6

• Stiffness or neck pain
• Dizziness, lightheadedness, unsteadiness,
• (-) change in position / movements

Answer 6

Cervicogenic Dizziness

Test: (+) Swivel Chair Test

Question 7

• Sudden ear pain (24-48 hours)
• Fever, hearing loss, purulent discharge (ear)
• URTI symptoms: cough, runny nose, fullness in ear

Answer 7

Myringitis

Test:
Tympanic membrane: red, bulging