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This essential subject to Otolaryngologists on Hearing Loss in
Children is edited by leading physicians and academicians Dr.
Bradley Kesser and Dr. Margaret Kenna. Topics in this issue on the
state of art of diagnosing and managing pediatric hearing loss
include: Audiometric evaluation of children with hearing loss;
Taking the history and physical exam of the child with hearing
loss; Radiographic evaluation of children with hearing loss;
Acquired Hearing Loss in Children and Laboratory evaluation of
children with hearing loss; Management of children with non-atretic
conductive hearing loss; Management of children with congenital
aural atresia; Diagnostic evaluation of children with sensorineural
hearing loss; Management of children with mild, moderate, and
moderate-severe SNHL; Management of children with severe,
severe-profound, and profound SNHL; Management of children with
unilateral hearing loss; Auditory Neuropathy/Dyssynchrony Disorder;
Genetics of Hearing Loss - Syndromic; Genetics of Hearing Loss -
Nonsyndromic; Psychosocial aspects of hearing loss in children;
Speech and Auditory-Verbal Therapy; On the horizon - cochlear
implant technology; Auditory brainstem implants; On the distant
horizon - medical therapy for SNHL; Early Practice Considerations
for Pediatric Hearing Loss. Each article presents clinically
focused diagnosis and management.
Dizziness comes in many forms in each age group - some specific to
an age group (e.g. benign paroxysmal vertigo of childhood) while
others span the age spectrum (e.g., migraine-associated vertigo).?
This content organizes evaluation and management of the dizzy
patient by age to bring a fresh perspective to seeing these often
difficult patients.
The pediatric section begins with a review of vestibular embryology
and physiology and moves toward a comprehensive discussion of
methods - both bedside and in the vestibular lab - to evaluate the
child with dizziness, or "clumsiness, concluding with an
exploration of the differential diagnosis of dizziness and relevant
findings. Dizziness in the adolescent points to migraine headache
as a common cause, enumerates treatment strategies for
migraine-associated vertigo, and offers guidelines for when to
image the adolescent with dizziness.
Adult dizziness is more a compilation of the relevant diagnoses,
but the section starts with dizziness that can affect young adults
- especially members of our Armed Forces fighting overseas -
traumatic brain injury/blast injury. This content also has
relevance for patients in
motor vehicle accidents and head injury patients. Medicolegal
aspects of evaluation and management of dizzy patients are
succinctly
covered in "Evaluation of Dizziness in the Litigating Patient. The
final chapter in this section, "Other Causes of Dizziness, ?
provides
a very thorough overview of unusual causes of dizziness in the
adult population.
Dizziness associated with advancing age is quite common and often
multifactorial, as is highlighted in the chapter "Dizziness in
the
Elderly. A comprehensive review of the posterior cerebral
circulation, transient ischemic attacks, and posterior circulation
stroke is
presented in the chapter, "Vertebrobasilar Insufficiency. No
coverage of dizziness in the elderly is complete without an
exposition of polypharmacy and medication effects.? Other common
diagnoses of dizziness in the elderly are thoughtfully reviewed
along with a survey
of new and old techniques to rehabilitate the older patient with
dizziness or disequilibrium.
Patients presenting with dizziness can harbor serious, if not
life-threatening, conditions such as stroke, brain abscess, or
severe chronic
?ear disease. At the end of several articles, the reader will find
a relevant table - What Not To Miss - a list of clinically
significant signs
and symptoms not to ignore, or conditions (differential diagnosis)
that may masquerade as that discussed in the chapter but
critically
important that the practitioner should not overlook in the
evaluation of the patient. Many articles in this edition start with
a clinical
scenario so the reader can recognize common presenting symptoms,
demographic features, and factors in the medical history that
will aid in making the diagnosis.
Get a quick, expert overview of dizziness and vertigo from
childhood through old age with this concise, practical resource.
Drs. Bradley W. Kesser and Tucker Gleason have assembled a leading
team of experts to address timely clinical topics of interest to
otolarynologists and other health care providers who see patients
with these common problems.
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