Ménière's disease: management in primary care
McNiven et al discuss the management of Meniere's disease in primary care. Meniere's disease is an idiopathic disorder of the inner ear causing the debilitating vestibular and auditory symptoms of vertigo, hearing loss, tinnitus, and aural fullness; vertigo attacks are the most problematic...
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Veröffentlicht in: | British journal of general practice 2021-12, Vol.71 (713), p.571-572 |
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description | McNiven et al discuss the management of Meniere's disease in primary care. Meniere's disease is an idiopathic disorder of the inner ear causing the debilitating vestibular and auditory symptoms of vertigo, hearing loss, tinnitus, and aural fullness; vertigo attacks are the most problematic facet of the disease for sufferers. Diagnostic certainty is problematic given the absence of a pathognomonic test, making it a challenging and often incorrectly attributed diagnosis in both primary and secondary care. The lifetime prevalence has been measured as 34-190 cases per 100 000, tending to affect adults between the third and seventh decades of life with pediatric cases being rare. |
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Meniere's disease is an idiopathic disorder of the inner ear causing the debilitating vestibular and auditory symptoms of vertigo, hearing loss, tinnitus, and aural fullness; vertigo attacks are the most problematic facet of the disease for sufferers. Diagnostic certainty is problematic given the absence of a pathognomonic test, making it a challenging and often incorrectly attributed diagnosis in both primary and secondary care. 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Meniere's disease is an idiopathic disorder of the inner ear causing the debilitating vestibular and auditory symptoms of vertigo, hearing loss, tinnitus, and aural fullness; vertigo attacks are the most problematic facet of the disease for sufferers. Diagnostic certainty is problematic given the absence of a pathognomonic test, making it a challenging and often incorrectly attributed diagnosis in both primary and secondary care. The lifetime prevalence has been measured as 34-190 cases per 100 000, tending to affect adults between the third and seventh decades of life with pediatric cases being rare.</description><subject>Clinical Practice</subject><subject>Disease management</subject><subject>Family physicians</subject><subject>Hearing loss</subject><subject>Humans</subject><subject>Medical diagnosis</subject><subject>Meniere disease</subject><subject>Meniere Disease - diagnosis</subject><subject>Meniere Disease - therapy</subject><subject>Pediatrics</subject><subject>Primary care</subject><subject>Primary Health Care</subject><issn>0960-1643</issn><issn>1478-5242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkctKAzEUhoMotlaXbmXAhW7G5p6MC0GKN6i4UXAXkkymTplLTTqCb6TP0RczpbVYV2dxPn7-CwDHCF4QkmVDM53MMHoVSGQy2wF9RIVMGaZ4F_RhxmGKOCU9cBDCFEKMOYL7oEeoxBRK2AfDx8V3Uy6-vDsLSV4Gp4O7TGrd6ImrXTNPyiaZ-bLW_jOx2rtDsFfoKrij9R2Al9ub59F9On66exhdj1NLEZunhlnLcpwVOcMcEoKMdobksKDWSCxZwSwVOYPYEEadKEREuRUI5UwKJwQZgKuV7qwztctttOJ1pdZWVKtLtf1pyjc1aT-U5JJTiqPA-VrAt--dC3NVl8G6qtKNa7ugoi0KESdyiZ7-Q6dt55sYb0lJFNuMEQYgXVHWtyF4V2zMIKiWU6itKSJ_8jfBhv7tnvwAbcyFWg</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>McNiven, Neil D</creator><creator>Deutsch, Peter G</creator><creator>Carlin, J Emmet</creator><creator>Trotter, Matthew I</creator><general>Royal College of General Practitioners</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211201</creationdate><title>Ménière's disease: management in primary care</title><author>McNiven, Neil D ; Deutsch, Peter G ; Carlin, J Emmet ; Trotter, Matthew I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-b5cc5d29fd5260331baeb3d0f4cb8285f5c47d502b354e7f729f6c711d587e773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical Practice</topic><topic>Disease management</topic><topic>Family physicians</topic><topic>Hearing loss</topic><topic>Humans</topic><topic>Medical diagnosis</topic><topic>Meniere disease</topic><topic>Meniere Disease - diagnosis</topic><topic>Meniere Disease - therapy</topic><topic>Pediatrics</topic><topic>Primary care</topic><topic>Primary Health Care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McNiven, Neil D</creatorcontrib><creatorcontrib>Deutsch, Peter G</creatorcontrib><creatorcontrib>Carlin, J Emmet</creatorcontrib><creatorcontrib>Trotter, Matthew I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of general practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McNiven, Neil D</au><au>Deutsch, Peter G</au><au>Carlin, J Emmet</au><au>Trotter, Matthew I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ménière's disease: management in primary care</atitle><jtitle>British journal of general practice</jtitle><addtitle>Br J Gen Pract</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>71</volume><issue>713</issue><spage>571</spage><epage>572</epage><pages>571-572</pages><issn>0960-1643</issn><eissn>1478-5242</eissn><abstract>McNiven et al discuss the management of Meniere's disease in primary care. 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subjects | Clinical Practice Disease management Family physicians Hearing loss Humans Medical diagnosis Meniere disease Meniere Disease - diagnosis Meniere Disease - therapy Pediatrics Primary care Primary Health Care |
title | Ménière's disease: management in primary care |
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