Ménière’s

Question 1

pathophysiology of Ménière’s

Answer 1

build up of endolymph
higher pressure

Question 2

presentation of Ménière’s

Answer 2

40-50
unilateral episodes of vertigo, hearing loss, tinnitus
fluctuate but hearing loss and tinnitus get worse
fullness
imbalance
drop attacks

Question 3

diagnosis of Ménière’s

Answer 3

ENT
audiometry

Question 4

management of Ménière’s

Answer 4

acute attacks - prochlorperazine
prophylaxis with betahistine
hearing aids