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- Jul 11, 2003
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OK, so this is a 67 y/o white male who has been diagnosed with Meniere's disease. He has regular episodes of dizziness, associated with vomiting. According to his doc, one ear has 100% hearing intact, but the balance is totally gone. The other ear has a 50/50 mix of hearing/balance intact. Patient has undergone 2 attemps at transtympanic injection.
The patient's wife is worried about the vomiting spells. Not only does he vomit, but bright colored blood comes out of his nose during these vomiting spells. Patient has no evidence of head trauma, no loss of neurological function (other than the balance problems with Meniere's disease). Patient does not normally have nosebleeds, these happen specifically during the vomiting episodes.
My first thought is that Meniere's has nothing to do with the blood. There is no evidence to suggest brain injury in this patient (no head trauma or other loss of neuro function).
Whats the deal here? Is it safe to assume that the nosebleeds are independent of Meniere's? Or are they somehow connected?
The patient's wife is worried about the vomiting spells. Not only does he vomit, but bright colored blood comes out of his nose during these vomiting spells. Patient has no evidence of head trauma, no loss of neurological function (other than the balance problems with Meniere's disease). Patient does not normally have nosebleeds, these happen specifically during the vomiting episodes.
My first thought is that Meniere's has nothing to do with the blood. There is no evidence to suggest brain injury in this patient (no head trauma or other loss of neuro function).
Whats the deal here? Is it safe to assume that the nosebleeds are independent of Meniere's? Or are they somehow connected?
