Dizziness/Inner Ear conditions

Question 1

cervicogenic vertigo; ss/px/pom

Answer 1

ss- dizziness that is also associated w neck pain and limited c/s rom

px- rotary chair test I+II + but dix hall pike -ve

POM- conserve

Question 2

BPPV- ss/px/pom

Answer 2

ss- dizziness, vertigo, loss of balance related to positional changes, causes abnormal rhythmic eye movements when occring

px- rotary chair + and dix hal pike +

POM- conservative, Epleys maneuver to reposition

Question 3

Menieres Disease

Answer 3

ss- disorder of inner ear, episodic attacks of tinnitus, sensorineural hearing loss, aural fullness, vertigo lasting minutes to hours

px- 2 episodes of vertigo each lasting 20mins-hour, hearing loss verified by test , sensineural loss

POM- conserve

Question 4

Labyrinthitis/vestibular neuronitis - acute vs convelecnet phase

Answer 4

ss- vertibular nerve becomes inflamed, causing contnoius dizziness, nausea + hearing loss

acute- CONSTANT
nystagmus (toward affect ear), severe vertigo and imbalance

Convalescent- imbalance and motion sickness lasting days to weeks

Question 5

Difference bw labyrinthitis and vestibular
Neuronitis

Answer 5

labyrinthitis-tinnitus + hearing loss ( inflammation of both vestibular and cochlear portions)

Neuronitis- no hearing loss

Question 6

Otitis externa- ss/px/pom

Answer 6

ss- pain (if acute) aggravated by movement of the auricle, otorrhea (discharge), conductive hearing loss

px- otoscope analysis

Question 7

Acoustic Neuroma

Answer 7

s/s- Typically arises from a schwannoma growing on the vestibular nerve causing hearing loss, tinnitus, unsteadiness and vertigo

Question 8

Myringitis- ss, px, POM

Answer 8

ss- middle ear inflammation and effusion, peak bw 6-15 m due to viral infection.

px- otoscopic exam

pom- antibiotics/antivirals