Adult Case Study (Ear)
What additional historical data would you like to collect?
A general history of ear, nose, mouth, and throat including current or recent exposure of respiratory infections should be collected. In order to find out if the vertigo is from a systemic cause, ask key questions like:
What other health problems do you have?
Are you anxious or nervous?
What makes the dizziness worse or what makes the dizziness and ringing in your ear go away?
Cardiovascular problems such as hypertension can cause patients to suffer from vertigo that is systemic in origin. Dizziness on standing can be from decreased cerebral perfusion. Dizziness with sudden change in position can be the result of hypotension, vascular disease, or positional …show more content…
Patient’s unsteady gait and vomiting in the hallway all contribute to a potential diagnosis of barotrauma (Goolsby, 2015).
Meniere disease is characterized by a classic triad of symptoms: vertigo, hearing loss, and tinnitus.
Subjective data- Patient is complaining of feeling dizzy, and high pitched ringing to ears.
Objective data- Clinician observed unsteady gait and vertigo. Physical examination confirms fluid behind right TM and bilateral erythematous ear canals. These symptoms can lead to a potential diagnosis of Meniere disease. Hearing examination and nystagmus test should be performed before making the diagnosis (Dains, Baumann, & Scheibel, 2015).
Benign Paroxysmal Positional Vertigo (BPPV): BPPV is characterized by the acute onset of vertigo with rapid head movement or position changes.
Subjective data: Patient complains of dizziness, unsteadiness, nausea, vomiting, and high pitched ringing of ears. No hearing loss reported.
Objective data: Clinician observes patient’s unsteady gait and vomiting episode. The episode is acute in onset and positional change is provoking the
What additional historical data would you like to collect?
A general history of ear, nose, mouth, and throat including current or recent exposure of respiratory infections should be collected. In order to find out if the vertigo is from a systemic cause, ask key questions like:
What other health problems do you have?
Are you anxious or nervous?
What makes the dizziness worse or what makes the dizziness and ringing in your ear go away?
Cardiovascular problems such as hypertension can cause patients to suffer from vertigo that is systemic in origin. Dizziness on standing can be from decreased cerebral perfusion. Dizziness with sudden change in position can be the result of hypotension, vascular disease, or positional …show more content…
Patient’s unsteady gait and vomiting in the hallway all contribute to a potential diagnosis of barotrauma (Goolsby, 2015).
Meniere disease is characterized by a classic triad of symptoms: vertigo, hearing loss, and tinnitus.
Subjective data- Patient is complaining of feeling dizzy, and high pitched ringing to ears.
Objective data- Clinician observed unsteady gait and vertigo. Physical examination confirms fluid behind right TM and bilateral erythematous ear canals. These symptoms can lead to a potential diagnosis of Meniere disease. Hearing examination and nystagmus test should be performed before making the diagnosis (Dains, Baumann, & Scheibel, 2015).
Benign Paroxysmal Positional Vertigo (BPPV): BPPV is characterized by the acute onset of vertigo with rapid head movement or position changes.
Subjective data: Patient complains of dizziness, unsteadiness, nausea, vomiting, and high pitched ringing of ears. No hearing loss reported.
Objective data: Clinician observes patient’s unsteady gait and vomiting episode. The episode is acute in onset and positional change is provoking the