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Meniere’s disease is a chronic disorder of the inner ear that causes dizziness, hearing loss, and tinnitus.
People with Meniere’s disease suffer progressive attacks that are often characterized by warning signs in advance. Treatment for Meniere’s disease involves reducing the severity of attacks while they occur, and limiting the number of overall attacks. Surgical options may be proposed if the condition does not respond well to changes in diet and medication.
Due to the unpredictable nature of this disease, it’s impossible to tell just how much it will affect a patient’s life.
External Auditory Canal Otitis Externa Defenses include cerumen which acidifies the canal and suppresses bacterial growth.
External Auditory Canal Otitis Externa Cerumen prevents water from remaining in canal and causing maceration. External Auditory Canal Otitis Externa-Management Topical antibacterial drops such as Neomycin otic, polymyxin, Quinolone otic Otic steroid drops containing polymyxin-neomycin and a topical corticosteroid. External Auditory Canal Chronic Otitis Externa Duration of infection greater than four weeks, or greater than 4 episodes a year Risks: inadequate treatment of otitis externa, persistent trauma, inflammation or malignant otitis externa.

External Auditory Canal Malignant Otitis Externa Inflammation and damage of the bones and cartilage of the base of the skull Occurs primarily in immunocompromised Most common etiology is pseudomonas aeruginosa. External Auditory Canal Malignant Otitis Externa Need IV antibiotics Might need surgical debridement. External Auditory Canal Cerumen Impaction Cerumen is produced by apocrine and sebaceous glands in external ear canal. External Auditory Canal Foreign body Can include toys, beads, nails, vegetables or insects.
External Auditory Canal Foreign body- Management Irrigation is best provided the TM is not perforated Destroy insect with lidocaine or mineral oil. Tympanic Membrane Bullous Myringitis Vesicles develop on the TM second to viral infections or bacterial infection Usually associated with middle-ear infection May extend into canal.
Middle Ear Acute Otitis Media Viral respiratory infections cause inflammation of ET When ET is blocked, fluid collects in the middle ear. Theories abound: circulation disorders, viral infections, allergies, migraines, ear canal obstructions, and head trauma have all been proposed as possible causes, but research is inconclusive.
A reduced-sodium diet, coupled with the use of diuretics, is a popular long-term solution aimed at reducing inner ear fluids.

Conductive hearing loss URI symptoms Vomiting, diarrhea Fever TM bulging and erythematous with decreased or poor light reflex.
The condition is incurable, but various treatments are available for effective management of symptoms. During the attack, patients may experience episodes of severe vertigo, fluctuating hearing loss, fullness in the ear, and tinnitus. Other treatment options include medications to control vertigo and nausea, and vestibular rehabilitation therapy that helps retrain the body and brain to process balance information. These symptoms may be accompanied by anxiety, blurry vision, nausea, vomiting, trembling, rapid pulse, and diarrhea.
Attacks may be brief, lasting for as little as 20 minutes, or may persist for as long as 24 hours.
Their frequency is unpredictable and sporadic; they may occur several times a week, or as little as once every few years.

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23.08.2013 admin

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