Senses part 4

Question 1

Caused by excess accumulation of endolymph in the membranous labyrinth

Answer 1

Menieres disease

-no cure: we want to reduce attacks

Question 2

What are common manifestations of Menderes disease?

Answer 2

vertigo (N/V)
tinnitus
muffled hearing
feeling of being pulled to the ground

Question 3

How do we test for Menderes disease?

Answer 3

Glycerol test: the high sugar content will pull the fluid from the semicircular canals and make hearing better.

Question 4

During a Menderes disease attack what can we recommend for the pt?

Answer 4

Anticholinergics(Atropine) 
Antihistamines (Benadryl)
Anti-emetics (compazine) 
Benzodiazepines (Ativan) 
Corticosteroids 
BEDREST (all the meds plus the attack can cause falls)

Question 5

What is the management for Menderes between attacks?

Answer 5

diuretics
corticosteroids
low Na+ diet
stress reduction

Question 6

Diet management for menieres disease?

Answer 6

• no sugary/salty foods, canned goods
• stay hydrated
• No caffeine (diuretic)
• eat fresh fruits/veggies
• no alcohol
• no MSG
• potassium if taking a loop diuretic (Thiazide diuretics are K+ sparing)
• avoid aspirin (may increase tinnitus/dizziness)