No Dysdiachokinesia - itsthatdo

[ArchivalUser]

med student complains of severe dizziness. awoke in meddle of night with the sensation of the room spinning wildly. complains of nausea and vomitting. denies any change in auditory acuity and has not previously experienced such symptoms. exmination is normal and he has no dysdiachokinesia. the most likley diagnosis is
1. round window rupture
2. vestibular neuronitis
why your answer

[ArchivalUser]

does nausea and vomitting indicate sign of infection that makes mean lean toward vestibular neuronitis...not sure, any thoughts?

[ArchivalUser]

got tears coming down my eyes, does anyone know the reason to the correct answer

[ArchivalUser]

round window rupture does not affect balance only auditory acuity. Round window rupture can heal itself so not all ruptures result in loss of hearing.

Round window keeps fluids in ear contained, the very same fluid that needs to be contained to move around inner ear to affect the hair cells and thus allow for hearing. Once round window is ruptured or fixed, hearing is loss beings. This can surgical be repaired to restore hearing is some cases.

Vestibular neuritis and labyrinthis are disease of infection in ear which affects the vestibulochochlear nerve, needed to send signals for balance and head position.

Clearly the later disease is more likely to cause spins.