Aaron is a 45-year-old lawyer who presents with a sudden onset of dizziness. He has noticed ringing in his ear and difficulty hearing for the past week. His past medical history is unremarkable. On examination, you note nystagmus. What does your management plan include?

1. Recommendation to increase fluids
2. Vestibular therapy
3. A prescription for corticosteroids
4. Referral to an ENT

Question

10-03-2024
Health

High School

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Aaron is a 45-year-old lawyer who presents with a sudden onset of dizziness. He has noticed ringing in his ear and difficulty hearing for the past week. His past medical history is unremarkable. On examination, you note nystagmus. What does your management plan include?

1. Recommendation to increase fluids
2. Vestibular therapy
3. A prescription for corticosteroids
4. Referral to an ENT

Answer :

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poonamyadav poonamyadav · Answer 1 · 2023-10-04T03:27:46-04:00

Final answer:

Given Aaron's symptoms indicative of a possible inner ear disorder like Ménière's disease, the management plan involves increasing fluids, vestibular therapy, corticosteroids prescription, and most importantly, referral to an ENT specialist for comprehensive evaluation and treatment. Correct option is 4) Referral to an ENT.

Explanation:

Aaron, a 45-year-old lawyer, presents with symptoms such as sudden onset of dizziness, ringing in his ear, difficulty hearing, and nystagmus observed on examination, which are indicative of a balance or hearing deficit potentially linked to conditions like Ménière's disease. Ménière's disease involves degeneration of inner ear structures leading to symptoms such as hearing loss, tinnitus, vertigo, and increased pressure within the inner ear. Given these symptoms and the serious nature of inner ear disorders, a holistic management plan should include several steps.

Considering Aaron's presentation and potential diagnosis, the correct management plan should mention all options but particularly emphasize the importance of a referral to an ENT specialist for specialized assessment and treatment. This approach ensures a thorough evaluation of Aaron's condition and formulation of a management plan that addresses the underlying cause of his symptoms.