Otology - other inner ear

Question 1

Specific causes of tinnitus

Answer 1

Hearing loss e.g. Presbyacusis- old ageNoise induced- prolonged sudden noise exposure 

Head injury 

Otosclerosis
	
Meniere’s Disease

Acoustic Neuroma

Question 2

General causes of tinnitus

Answer 2

Hypertension

Anaemia

Heart failure

Question 3

Drug causes of tinnitus

Answer 3

Aspirin

Loop diuretics 

Aminoglycosides 

Alcohol

Question 4

Psychological causes of tinnitus

Answer 4

Stress eg divorce, retirement

Question 5

What is the likely cause of a high pitched tinnitus?

Answer 5

Inner ear problem, auditory cortex

Question 6

What is the likely cause of a banging/cracking/popping tinnitus?

Answer 6

Middle ear

Question 7

What is the likely cause of pulsatile tinnitus?

Answer 7

Normal carotid artery, vascular tumour

Question 8

How would you examine someone with tinnitus?

Answer 8

Auriscope, whispering test, rhino’s webers.
BP and pulse.
Really you’re just trying to find the cause and treat that/explain that its normal.