Tinnitus

Question 1

what is tinnitus

Answer 1

non verbal sound not due to stimuli outside the body

Question 2

what sounds do you get from inner ear

Answer 2

ringing, hissing, buzzing

Question 3

what sounds do you get from external or middle ear

Answer 3

popping, clicking

Question 4

do most people get tinnitus

Answer 4

yes but suppress it. so if suppression fails, tinnitus is intrusive

Question 5

what can you diagnose if you exclude other causes of tinnitus

Answer 5

subjective idiopathic tinnitus

Question 6

causes of tinnitus

Answer 6

local- hearing loss, noise induced, head injury, otosclerosis, menieres; general- CV bp incr, hb decr, heart failure; drugs; psych

Question 7

what drugs can cause tinnitus

Answer 7

aspirin, loop diuretics, aminoglycosides, quinine, alcohol

Question 8

what could pulsatile sounds indicate

Answer 8

anxiety, BIH, vascular causes

Question 9

what test must you do in unilateral tinnitus

Answer 9

MRI for acoustic neuroma

Question 10

treatments

Answer 10

melatonin if sleep cycle disrupted, baclofen, betahistine is menieres is the cause, intratympanic dexamethasone + oral alprazolam