Meniere's Disease Essay

The days seemed to go by slower and slower each day. Empty dark rooms are

Patient states that she has had no head injuries, past or present. Patient states she has never suffered from vertigo or dizziness. BB states that she rarely suffers from generalized headaches. Patient avoids taking pain relievers of any kind when she does present with head pain.

Observation: Since the patient is only complaining of hearing loss in one ear the patient may elect for no intervention. However, the patient would then need to go under close observation to monitor

Patient is a 58-year-old right-hand white male interviewed in the presence of his wife. He was previously seen by me last month for admission for the acute onset of vertigo with possible TIA or stroke as etiology. He stated that he awoke on 06/18/2015 in his usual state of health and then went to work and while there, he had the sudden onset of marked spinning vertigo. He was unable to walk straight, but denied any bilateral lower extremity weakness. He did have nausea and vomited several times. He initially denied any diplopia, visual field cut, blurred vision, facial asymmetry, facial or body sensory changes, dysarthria, or focal weakness. He continued to have marked vertigo in the emergency room,

Neurological Assessment: patient is awake and alert times 4. Denies head injury, seizures or seizure disorder, paralysis, or abnormalities of sensation and gait coordination. Denies syncope dizziness, vertigo, memory loss, speech coordination, frequent headaches, or tremors. Denies problems with speaking.

Inflamed and can cause loss of sight or double vision. Vertigo and hearing loss are symptoms, but less

minor or even no head pain, making it hard to diagnose. Motion sickness is an early warning of

The patient was seen on June 1, 2015 secondary to vertigo. These symptoms did resolve completely.

Bill is a 79 year old patient living in a residential facility. After a recent physical therapy session he began experiencing pain on the left side of his head, as well as complaining of a headache. Although his vital signs showed to be normal, the doctor noticed exudate drainage leaking from his left ear. An ear culture was then taken with a swab and transported to the lab for further testing.

I noticed nystagmus in both eyes at maximum deviation. Mcclellan also had involuntary movement in both eyes prior to 45 degrees.

Based on the medical report dated 03/25/16, the patient continues to have significant headaches and bilateral neck and shoulder pain. IW has numbness and tingling in both arms with neck pain.

Hearing loss is the most common physical disability in the whole wide world. In the United States alone, about 28 million people have some level of hearing impairment that interferes with their ability to understand normal speech and participate in conversations. Another 2 million cannot hear at all.

Pt denies hearing impairment; acuity tests WNL, earaches, discharge or infection; wax noted in canal, ears are equal in size.

Electronystagmography is a procedure used to look at involuntary rapid eye movement (nystagmus). Nystagmus is when your eyes move from side to side or up and down very rapidly without you making this happen. It is normal for this to occur in response to certain stimuli, such as changing head position. If nystagmus does not occur, this can indicate a problem with the inner ear or various parts of the brain. The procedure may be done to check for a tumor, an infection, a low blood supply, or other problems. Your health care provider may recommend this procedure to help determine the cause of vertigo, which is a sensation that you or your surroundings are moving when they are not.

There was no hearing deficit noted with normal conversation. Patient only had complaints of pain at surgical site after ambulation, physical therapy or the CPM. Patient was taught he could ask for the pain medicine prior to these events to hopefully avoid intense pain.