meniere's disease

Question 1

presentation of meniere’s disease

Answer 1

recurrent episodes of vertigo, tinnitus and hearing loss (sensorineural)
sensation of aural fullness or pressure
nystagmus and positive romberg test
episodes last minutes to hours
typically unilateral

Question 2

management of meniere’s disease

Answer 2

ENT assessment
inform the DVLA (stop driving until symptomatic control)
acute attacks: buccal or intramuscular prochlorperazine
prevention: betahistine and vestibular rehab