FN: Tinnitus Flashcards

1
Q

Definition

A

Sensation of sound w/o external sound stimulation

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2
Q

Causes

A

specific
General
Drugs

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3
Q

Specific causes

A
menieres
Acoustic neuroma
Otosclerosis
Noise-induced
Head injury
Hearing loss e.g. presbyacusis
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4
Q

General causes

A

Raised BP

Reduced Hb

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5
Q

Drugs causes

A

Aspirin
Aminoglycosdes
Loop diuretics
EtOH

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6
Q

History character

A

Constant pulsatile

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7
Q

Presentation unilateral diagnosis

A

acoustic neuroma

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8
Q

FH presentation

A

Otosclerosis

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9
Q

Associations

A

Vertigo: Menieres, acoustic neuroma
Deafness: Menieres, acoustic neuroma

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10
Q

Causes

A

Head injury, noise, drugs, FH

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11
Q

Examination

A

Otoscopy
Tuning fork tests
Pulse and BP

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12
Q

Investigations

A

audiometry and tympanogram

MRI if unilateral to exlcude acoustic neuroma

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13
Q

Management

A

Treat any underlying causes
Psych support: tinnitus retraining therapy
Hypnotics @ night may help

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