NR 603 Week 1 Discussion Compare and Contrast: Benign Positional Vertigo and Meniere's Disease
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NR603
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NR603
NR 603 Week 1 Discussion Compare and Contrast: Benign Positional Vertigo and Meniere's Disease
NR 603 Week 1 Discussion Compare and Contrast: Benign Positional Vertigo and Meniere's Disease
NR 603 Week 1 Discussion Compare and Contrast: Benign Positional Vertigo and Meniere's Disease
NR 603 Week...
NR 603: Week 1 Discussion: Compare and Contrast : Benign Positional Vertigo and Meniere's Disease NR 603: Week 1 Discussion: Compare and Contrast: Benign Positional Vertigo and Meniere's Disease Dr. Starks & Class, The purpose of this discussion is to compare and contrast benign positional vertigo (BPV) also known as benign paroxysmal positional vertigo (BPPV) and Meniere’s disease (MD) as well as to disseminate how the provider can recognize and further evaluate similarities and differences in these two similar diseases in order to determine the correct diagnosis and management. BPV and MD are two neurological disorders that may be challenging for a provider to identify the correct diagnosis because they have similar signs and symptoms, with the chief complaints being dizziness. The complaint of dizziness encompasses numerous sensations including presyncope, lightheadedness, vertigo, and disequilibrium (Yetiser, 2017). The complaint of dizziness is encountered frequently in the primary care setting and the complaint can be vague and imprecise. It is imperative that the primary care provider is able to distinguish benign causes from more serious etiologies (Muncie et al., 2017). It is estimated that the chief complaint of dizziness, including vertigo is reported by 15% to 20% of adults annually. A comm on form of vertigo is identified as BPV and nearly 2.9 % of the population will experience BPV in their lifetime. Due to the age -related changes in the otolithic membrane the incidence of BPV increases with age. Although, BPV can occur at any age, the pre valence is significantly higher is in persons 50 to 70 years of age. Interestingly, this disease process is two to three times more common in females than males (Palmeri et al., 2019). On the other hand, MD can also occur at any time across the lifespan. However, the onset most commonly presents between 20 to 60 years of age (Muncie et al., 2017). Studies suggest that the incidence between men are women are proportionately equal. Approximately, 0.2% of the American population has a diagnosis of MD, making it a more rare disorder [ CITATION Ame2013 \l 1033 ]. Presentation: Patient with BPV often report episodes of dizziness that last for one minute or less. These episodes are often brought on by head movements, particularly looking up, position changes such as getting out of bed or rolling over in bed (Muncie et al., 2017). Some patients may also report nausea and vomiting associated with the episodes of vertigo (A rgaet et al., 2019). Unlike BPV, MD is associated with a triad of symptoms which include aural fullness, tinnitus, and hearing loss in addition to episodes of vertigo. Additionally, these episodes are not triggered or related to changes in the position of the head. The natural progression of MD is progressive and unpredictable, some patients may experience a significant number of attacks in the early phase and have a reduction of episodes periodically and temporarily. However, some patient’s symptoms increa se with frequency and severity overtime (Basura et al., 2020). The episodes associated with MD typically last 20 minutes to 24 hours (Koenen et al., 2019). The episodes associated with MD are often severe and may necessitate bed rest and severely impairing the patient’s functional ability, therefore, requiring assistance in some instances. These episodes are unpredictable in nature and have a negative impact on the patient’s quality of life by restricting participation in work, homelife, and social activities (Basura et al., 2020). NR 603: Week 1 Discussion: Compare and Contrast : Benign Positional Vertigo and Meniere's Disease Risk factors for the development of BPV include age and gender, however, there are other associated risk factors such as, chronic alcoholism, hypertension, hyperlipidemia, central nervous system disorders, and history of head injury or trauma (Zhu et al., 2019). MD risk factors include a family history
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