[abstract]HOW TO DIFFERENTIATE INNER EAR BAROTRAUMA FROM DECOMPRESSION SICKNESS: A CLINICAL CHALLENGE

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[abstract]HOW TO DIFFERENTIATE INNER EAR BAROTRAUMA FROM DECOMPRESSION SICKNESS: A CLINICAL CHALLENGE

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dc.contributor.author Chiasson SA en_US
dc.contributor.author Labrecque M en_US
dc.date.accessioned 2015-10-25T04:30:09Z
dc.date.available 2015-10-25T04:30:09Z
dc.date.issued 2012 en_US
dc.identifier.citation Undersea and Hyperbaric Medical Society Annual Meeting, Phoenix, Arizona, USA. Undersea Hyperb Med. 2012 Sep-Oct;39(5) en_US
dc.identifier.isbn 1066-2936 en_US
dc.identifier.uri http://archive.rubicon-foundation.org/10516
dc.description Undersea and Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc. en_US
dc.description.abstract Background: Inner ear barotrauma and decompression sickness may present as diagnostic challenge because both diseases share similar symptoms. The treatment of inner ear decompression sickness is hyperbaric oxygen therapy, but ear barotrauma is a contraindication to this treatment. Objective: We present a case of inner ear decompression sickness, which illustrates the difficulty in distinguishing it from barotrauma. We will enhance important clinical elements to orient towards the appropriate diagnosis and treatment. Case: A 37-year-old man is brought to the hospital with a possible diagnosis of inner ear decompression sickness. He complains of vertigo, nausea, a sense of ear fullness and right hearing loss. He denies other symptoms of decompression sickness. Symptoms appeared after a dive at 120 feet about 30 minutes after regaining the ground. There was no violation of decompression tables, and the diver did not have any symptoms during descent. The physical exam was normal except for inability to perform tandem. Otoscopic examination was unremarkable for a middle ear barotrauma. A diagnosis of inner ear decompression sickness was made. The patient had one hyperbaric treatment five hours after the beginning of his symptoms and recovered completely from his deficits. Conclusion: This case illustrates well the challenging diagnostic approach of inner ear diseases related to scuba diving. The difference between inner ear decompression sickness and barotrauma relies on diving history, symptoms and the integrity of tympanic membrane upon otoscopic examination. en_US
dc.language.iso en en_US
dc.publisher Undersea and Hyperbaric Medical Society, Inc. en_US
dc.subject en_US
dc.subject en_US
dc.subject en_US
dc.subject en_US
dc.title [abstract]HOW TO DIFFERENTIATE INNER EAR BAROTRAUMA FROM DECOMPRESSION SICKNESS: A CLINICAL CHALLENGE en_US
dc.type Article en_US

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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