Ms. V is a 32-year-old assistant professor in a demanding discipline.

Ms. V is a 32-year-old assistant professor in a demanding discipline. After a stressful year, she decided to take an extended vacation at a mountain resort in Colorado. A few months ago, she had visited her physician, complaining of a ringing in her ears accompanied by dizziness and nausea. After a few weeks the problem seemed to go away, but within a few days after arriving in the mountains, she experienced loud tinnitus in one ear, along with dizziness and nausea

1. Relate the pathophysiologic changes during an episode to the signs and symptoms Ms. V experienced. (See Ménière’s Syndrome.)

2. Discuss the conditions that could cause or exacerbate an attack with special attention to the patient’s circumstances. (See Ménière’s Syndrome.)

3. Discuss the course of this syndrome and the treatments available for the patient. (See Ménière’s Syndrome)