FN: Tinnitus Flashcards
1
Q
Definition
A
Sensation of sound w/o external sound stimulation
2
Q
Causes
A
specific
General
Drugs
3
Q
Specific causes
A
menieres Acoustic neuroma Otosclerosis Noise-induced Head injury Hearing loss e.g. presbyacusis
4
Q
General causes
A
Raised BP
Reduced Hb
5
Q
Drugs causes
A
Aspirin
Aminoglycosdes
Loop diuretics
EtOH
6
Q
History character
A
Constant pulsatile
7
Q
Presentation unilateral diagnosis
A
acoustic neuroma
8
Q
FH presentation
A
Otosclerosis
9
Q
Associations
A
Vertigo: Menieres, acoustic neuroma
Deafness: Menieres, acoustic neuroma
10
Q
Causes
A
Head injury, noise, drugs, FH
11
Q
Examination
A
Otoscopy
Tuning fork tests
Pulse and BP
12
Q
Investigations
A
audiometry and tympanogram
MRI if unilateral to exlcude acoustic neuroma
13
Q
Management
A
Treat any underlying causes
Psych support: tinnitus retraining therapy
Hypnotics @ night may help