Meniere's Disease
ѿ What Is Meniere's Disease
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Meniere. .
Causes
vestibular labyrinth. ( ) Hair cells . .
. endolymph. .
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Symptoms
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Diagnosis
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Electronystagmography - ENG.
MRI.
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ѡ 20 .
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Treatment
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Medications:
: Meclizine.
: prochlorperazine.
: alprazolam.
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Dietary instructions:
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Middle ear injections:
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Surgery:
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Endolymphatic sac procedures: . .
Vestibular neurectomy: . ( ) ǡ .
Labyrinthectomy: .
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Paranasal sinuses: .
Maxillary sinuses
Ethmoid sinuses
Frontal sinuses: .
Sphenoid sinuses: .
Ciliary dyskinesia . : F. B Polyp Adenoid hypertrophy Tumor Trauma Septal deviation
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Pneumococcus
H. influenza
Streptococcus
Staphylococcus
Clinical manifestation
( .. ) ( ) .
: .
: . Sore throat . : Sniff Snort .
: .
.!
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: : Bacterial: 39 .
Sub acute Or Chronic .
: Allergic rhinitis (Pale and boggy ). .. Tenderness .
O . M Peri orbital cellulitis Orbital abscess Optic neuritis . Meningitis
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Mucosal thickening
Air fluid level
Sinus opacification
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Pus celles .
> Cellular debris
eosinophils Allergic rhinitis
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Amoxicillin ( ) 2nd and 3rd generation of cephalosporin
Goad dose
: 14 21 .
deconjestant Anti histamines .!
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ɡ ( ɡ ) VasomotorRhinitis ɡ ߡ .
Antihistamine .
, , ͡ . Antihistamine , ɡ .
Side Effects Antihistamine , . ɡ . , , .
Antihistamine :
Claritin
Disophrol
Terfact
Hismanal
Arieus
Clarinase
Zyrtec
Polaramine Ex...
Decongestants :
, . Air Passages . Decongestants , .
Adrenaline, , ɡ , .
, Glaucoma () Decongestants Decongestants
Phenylephrine Spray(Neosynephrine)
Sudafed Tab
Ofrin Spray Gel
Vibrocil Spray gel
Clarinase Tab
Antihistamine Decongestants.
Antihistamine+ Decongestants
Antihistamine , Decongestants .
(Antihistamine + Decongestants) :
Actifed
Clarinase
Contac
Di****pp
Triaminic ex
. , . Antihistamine Decongestants .
:
Antihistamine Decongestants . .
:
Decongestants ɡ ɡ .
. Vicious Circle , .
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( ) .. .
/
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