Exam (elaborations)
NR 603 exam with complete solutions 2024_2025
- Course
- Institution
NR 603 exam with complete solutions 2024_2025
[Show more]
Content preview
NR 603 exam with complete solutions2024/2025
Vestibular neuritis/labyrinthitis - ANSWER-Acute unilateral labyrinthine
dysfunction
Sx: severe vertigo, nausea, vomiting and disequilibrium lasting few days,
unbalance with rapid head movement; lasts weeks to months; probs w/
walking/balance
Causes: by viral infection in vestibular nerve, otitis media sometimes another
cause; HSV-1 of vestibular ganglia
Assessment:
-Thorough ear, nose throat exam
-Neuro exam (including balance testing with Romberg)
-Hearing screen should be normal
-Abnormal neuro exam should suggest a central cause and referred to Neuro
Diagnostics:
Labs: CBC with diff
Imaging: MRI or CT
Differential dx:
-BPPV
-Meniere disease
-Migrainous vertigo
-Vascular d/o
, -Trauma
-Toxins
-Demyelinating disease (MS)
-Ramsay Hunt Syndrome
-Cerebellar disorder
-Tumors
Tx:
-Symptom relief - use only for 3 days (more than that can just mask sx):
anticholinergics (first line), antihistamines(first line), long acting benzos
(reserved for pts who cant take anticholinergics) or antiemetics (added to relieve
vomiting)
-Acute treatment: Methylprednisolone taper (100mg every 3 days)
Meniere's disease - ANSWER-Excessive fluid and pressure in labyrinth of inner
ear; autoimmune process
Sx: Vertigo that last min to hours, a/w nausea and vomiting, accompanied by
pressure in ear; low-pitched = unilateral hearing loss; hearing loss is constant in
later stages
Assessment:
-Head and neck exam to exclude acute otitis media
-Neuro exam
-Weber test - sound will lateralized to unaffected ear
-Rinne test - air conduction > bone conduction
Diagnostics:
-Initial: Audiogram
-Labs- TSH, serum glucose, RPR, lyme serologies
-Imaging: MRI (rule out neuroma)
Differential:
-BPPV
-Vestibular neuritis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller tuition. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now