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An aminoglycoside is a molecule composed of a sugar group and an amino group, in some cases acting as an antibiotic.

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No, it's an aminoglycoside.

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An apramycin is an aminoglycoside antibiotic.

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No, Zithromax is a macrolide.

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No, it is a class apart.

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An arbekacin is a variety of semisynthetic aminoglycoside antibiotic.

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yes,tobramycin is a generic name.Tobramycin is an aminoglycoside antibiotic

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An aminocyclitol is any of a class of chemical compounds related to cyclitols and used in aminoglycoside antibiotics.

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An amikacin is an aminoglycoside antibiotic used to treat various bacterial infections, with the formula C22H43N5O13.

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An aminoglycoside is a molecule composed of a sugar group and an amino group, in some cases acting as an antibiotic.

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The medication known to cause hearing loss is called aminoglycoside antibiotics.

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Kantrex contains kanamycin, which is an aminoglycoside antibiotic, and thus acts on the 30S subunit of ribosomal RNA. It is similar to gentamycin.

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Anne Nguyen has written:

'The utility of using a dosing nomogram and amnoglycoside levels with once daily aminoglycoside therapy'

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TOBI or Tobramycin is an aminoglycoside antibiotic. It is used to treat a large array of bacterial infections and perticularly Gram-negative infections

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Certain medications, such as aminoglycoside antibiotics and some chemotherapy drugs, have the potential to cause hearing loss as a side effect.

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No. Clindamycin is an antibiotic. Some cough syrups have codeine in them but there would not be an antibiotic-opioid combo medication.

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Maria Rudis has written:

'Efficacy of medical housestaff education by a pharmacist on aminoglycoside prescribing' -- subject(s): Aminoglycosides, Hospitals, In-service training, Medical staff, Toronto Hospital

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The prognosis depends on the drugs that caused the ototoxicity, and their dose. The aminoglycoside antibiotics, gentamicin, kanamycin, netilmycin and tobramycin all cause hearing loss to varying degrees. These drugs may be used.

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Ototoxicity is often caused by certain medications such as aminoglycoside antibiotics and chemotherapy drugs. Nephrotoxicity can be caused by medications like nonsteroidal anti-inflammatory drugs (NSAIDs), aminoglycoside antibiotics, and certain chemotherapy drugs. Both conditions can result in damage to the ears and kidneys, respectively.

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No, it's in the macrolide family.

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This procedure involves delivering medications into the middle ear through an incision in the eardrum. Once in the middle ear, the drugs are absorbed into the inner ear. Two types of drugs are used--steroids and aminoglycoside antibiotics

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Yes, certain medications can cause hearing loss. The most common types of medication associated with this side effect are aminoglycoside antibiotics, loop diuretics, and some chemotherapy drugs.

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Penicillin is a beta-lactam antibiotic while streptomycin is an aminoglycoside antibiotic.

Beta-lactams generally act by inhibiting transpeptidation of peptidoglycan synthesis in cell wall synthesis.

Aminoglycosides interact with the 30s ribosomal subunit and inhibits protein synthesis in the cell.

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Tobramycin is an aminoglycoside drug (like gentamycin, amikacin, streptomycin, neomycin)

Acts on 50S (and also 30S) and inhibit bacterial protine synthesis.

Tobramycin used in different route except oral route and effective mostly against gram -Ve bacteria. [There is no such distinct Mycin Family in Pharmacology]

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Using loop diuretics (such as furosemide) and aminoglycoside antibiotics (such as gentamicin, tobramycin) together can increase the risk of damage to the inner ear leading to hearing loss.

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Yes. You can get the same infection transferred to genital tract. Puerperal sepsis can be caused by strep throat bacteria. This can happen through droplet infection or contamination of the instruments by carrier. You have to treat this infection vigorously with very high dose of injection benzyl penicillin (one million units every four hours) with aminoglycoside.

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Certain drugs, such as aminoglycoside antibiotics, chemotherapy drugs, and high doses of aspirin, can cause hearing loss. These drugs can damage the hair cells in the inner ear, leading to permanent hearing loss. It is important to consult with a healthcare provider before taking any medication that may have potential effects on auditory health.

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Peniciilin is derived from Penicillium chrysogenum and is active against Gram-positive bacteria. It connects peptidoglycan strands by irreversibly interacting with transpeptidase and prohibits the last cell wall synthesis.

Streptomycin-sulfate is derived from Streptomyces griseusan and is an aminoglycoside antibiotic. It is active against Gram-negative bacteria and Mycobacteria and inhibits initiation of the protein biosynthesis.

Penicillin and Streptomycin are often used together.

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1) Coliform bacteria are a commonly used bacterial indicator of sanitary quality of foods and water.

2) Amikacin is an aminoglycoside antibiotic used to treat different types of bacterial infections.

3) Clindamycin It is usually used to treat infections with anaerobic bacteria, can also be used to treat some protozoal diseases, such as malaria

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Certain medications, such as aminoglycoside antibiotics, loop diuretics, and some chemotherapy drugs, can potentially cause hearing loss. Precautions to take when using these medications include monitoring for any signs of hearing loss, discussing potential risks with a healthcare provider, and considering alternative medications if possible. It is important to follow the prescribed dosage and duration of treatment to minimize the risk of hearing damage.

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Gamaxin is a semi-synthetic aminoglycoside antibiotic derived from gentamicin. Its chemical structure allows it to inhibit bacterial protein synthesis by binding to the 30S ribosomal subunit. Gamaxin is used to treat infections caused by susceptible bacteria, particularly those resistant to other antibiotics.

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You can take antibiotics from penicillin group like penicillin, ampicillin, amoxicillin, piperacillin etc with clavulanic acid. You can take cephalosporins like cephalexin, cephadroxil, cefuroxime, cefpodoxime, cefixime, injection cephotaxime, ceftriaxone etc. When indicated, you use the macrolides like erythromycin, clarithromycin, roxithromyicin and azithromycin. When indicated you can use aminoglycoside like gentamicin, tobramycin, amikacin with possibility to some risk to fetus. Aminoglycosides are used for as short period as possible. You can use chloramphenicol in pregnancy, when indicated.

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Yes, Neomycin is a broad spectrum antibiotic.It belongs to aminoglycoside group of antibiotics, acting at 30's sub unit of ribosome to inhibit protein synthesis.It is highly effective against wide variety of gram-negative bacteria and also covers some gram-positive bacteria.It is derived from a fungus namely streptomyces fradiae.

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Mupirocin is generally not effective for treating pseudomonas infections. Pseudomonas species have developed resistance to mupirocin, making it less effective in targeting these types of infections. It is important to consult a healthcare provider for appropriate treatment options for pseudomonas infections.

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Peripheral vestibular dysfunction in humans is a problem with the inner ear or the vestibular nerve, leading to issues with balance and spatial orientation. Symptoms may include vertigo, dizziness, nausea, and difficulty with coordination. Treatment may involve medications, vestibular rehabilitation therapy, or in severe cases, surgery.

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-noun Pharmacology .an antibiotic, C 2 1 H 3 9 N 7 O 1 2 , produced by a soil actinomycete, Streptomyces griseus, and used in medicine in the form of its white, water-soluble sulfate salt, chiefly in the treatment of tuberculosis.

Streptomycin is a water-soluble aminoglycoside derived from Streptomyces griseus. It is marketed as the sulfate salt of streptomycin. The chemical name of streptomycin sulfate is D-Streptamine, O-2-deoxy-2-(methylamino)-α-L-glucopyranosyl-(1→2)-O-5-deoxy-3-C-formyl-α-L-lyxofuranosyl-(1→4)-N,N1-bis(aminoiminomethyl)-,sulfate (2:3) (salt).The molecular formula for Streptomycin Sulfate is (C21H39N7O12)2-3H2SO4 and the molecular weight is 1457.41. It has the following structural formula:

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Neomycin is an antibiotic commonly used to treat or prevent bacterial infections. It is often used topically on the skin to treat wounds, burns, and infections. It can also be taken orally to treat bacterial infections in the intestines.

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Nephrotoxicity:

Certain drugs are inherently nephrotoxic and include aminoglycosides, amphotericin B, cisplatin, contrast dye, and cyclosporine

Otoxicity

There are more than 200 medications and chemicals that are known to cause hearing and balance problems. It is important to discuss with your doctor the potential for hearing or balance damage of any drug you are taking. Sometimes there is little choice. Treatment with a particular medication may provide the best hope for curing a life-threatening disease or stopping a life-threatening infection.

Ototoxic medications known to cause permanent damage include certain aminoglycoside antibiotics, such as gentamicin (family history may increase susceptibility), and cancer chemotherapy drugs, such as cisplatin and carboplatin.

Drugs known to cause temporary damage include salicylate pain relievers (aspirin, used for pain relief and to treat heart conditions), quinine (to treat malaria), and loop diuretics (to treat certain heart and kidney conditions).

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This would depend on the "culture-and-sensitivity" report of your condition, and could a cephalosporin (as Rocephin) , or a penicillin-like drug like piperacillin along with an aminoglycoside like tobramycin.

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Blood specimens for drug monitoring can be taken at two different times, called peak and trough levels. Blood for peak level is collected at the drug's highest therapeutic concentration within the dosing period. For drugs given intravenously, the peak level is drawn 30 minutes after completion of the dose. For drugs given orally, this time varies with the drug because it is dependent upon the rates of absorption, distribution and elimination. For intravenous drugs, peak levels can be measured immediately following complete infusion. Trough levels (occasionally called residual levels) are measured just prior to administration of the next dose, and are the lowest concentration in the dosing interval. Too low a dose or too great a dose interval will produce a trough level that is below the therapeutic range, and too great a dose or too close a dose interval will show a peak level greater than the therapeutic range. Most therapeutic drugs have a narrow trough to peak difference, and therefore, only trough levels are needed to detect blood levels that are too low or too high. Peak levels are needed for some drugs, especially aminoglycoside antibiotics.

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Ibuprofen brand name: Advil, Children's Advil / Motrin, Medipren, Nuprin, Pediacare Fever etc.

Ibuprofen belongs to a class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). These drugs are used for the management of mild to moderate pain, fever, and inflammation. Prostaglandins are chemicals that are made by the body and are responsible for causing pain, fever and inflammation. Ibuprofen blocks the enzyme that makes prostaglandins (cyclooxygenase), resulting in lower levels of prostaglandins. As a consequence, inflammation, pain and fever are reduced.

Ibuprofen Drug Interactions

Ibuprofen is associated with several suspected or probable interactions that can affect the action of other drugs. Ibuprofen may increase the blood levels of lithium (Eskalith) by reducing the excretion of lithium by the kidneys. Increased levels of lithium may lead to lithium toxicity. Ibuprofen may reduce the blood pressure-lowering effects of drugs that are given to reduce blood pressure. This may occur because prostaglandins play a role in the regulation of blood pressure. When ibuprofen is used in combination with aminoglycosides (e.g., gentamicin) the blood levels of the aminoglycoside may increase, presumably because the elimination of aminoglycosides from the body is reduced. This may lead to aminoglycoside-related side effects. Individuals taking oral blood thinners or anticoagulants (e.g., warfarin) should avoid ibuprofen because ibuprofen also thins the blood, and excessive blood thinning may lead to bleeding.

Ibuprofen Side Effects

The most common ibuprofen side effects are rash, ringing in the ears, headaches, dizziness, drowsiness, abdominal pain, nausea, diarrhea, constipation and heartburn. Serious Ibuprofen side effect is ulceration of the stomach or intestine, and the ulcers may bleed. Sometimes, ulceration and bleeding can occur without abdominal pain, and black tarry stools, weakness, and dizziness upon standing (orthostatic hypotension) may be the only signs of a problem. Renal ibuprofen side effects include reduction of blood flow to the kidneys and impaired function of the kidneys. The impairment is most likely to occur in patients with preexisting impairment of kidney function or congestive heart failure, and use of ibuprofen in these patients should be done cautiously. People who are allergic to other NSAIDs, including aspirin, should not use ibuprofen. Individuals with asthma are more likely to experience allergic reactions to ibuprofen and other NSAIDs.

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If the UTI is treated early, the use of antibiotics may be avoided. Several products are available over the counter. Most uncomplicated UTIs can be treated with oral antibiotics such as trimethoprim, cephalosporins, nitrofurantoin, or a fluoroquinolone (e.g. ciprofloxacin, levofloxacin). Whilst co-trimoxazole was previously internationally used (and continues to be used in the U.S.), the additional of the sulphonamide gave little additional benefit compared to the trimethoprim component alone, but was responsible for its both high incidence of mild allergic reactions and rare but serious complications. If the patient has symptoms consistent with pyelonephritis, intravenous antibiotics may be indicated. For acute pyelonephritis, use Aminoglycoside plus Ampicillin (I.V.). Patients with recurrent UTIs may need further investigation. This may include ultrasound scans of the kidneys and bladder or intravenous urography (X-rays of the urological system following intravenous injection of iodinated contrast material). If there is no response to treatments, interstitial cystitis may be a possibility. During cystitis, uropathogenic Escherichia coli(UPEC) subvert innate defenses by invading superficial umbrella cells and rapidly increasing in numbers to form intracellular bacterial communities (IBCs). Researchers at Center for Genomic Sciences, Allegheny Singer Research Institute, and the Department of Microbiology and Immunology, Drexel University College of Medicine have shown that biofilms are responsible for chronic infections and, from a clinical perspective, traditional antibiotic therapy will never be a successful treatment against biofilm bacteria. [1] 1. http://en.wikipedia.org/wiki/Urinary_tract_infection#Treatment

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Definition

Hypomagnesemia means low levels of magnesium in the blood.

Alternative Names

Low blood magnesium; Magnesium - low

Causes, incidence, and risk factors

Several conditions can cause hypomagnesemia, including:

  • Alcoholism
  • Chronic diarrhea
  • High blood calcium levels
  • Hyperaldosteronism
  • Malabsorption
  • Malnutrition
  • Use of certain medications including amphotericin, cisplatin, and diuretics
  • Excessive urination (polyuria)
References

Yu ASL. Disorders of magnesium and phosphorous. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 120.

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Definition

Proximal renal tubular acidosis is a condition that occurs when the kidneys don't properly remove acids in the urine, leaving the blood too acidic.

Alternative Names

Renal tubular acidosis - proximal; Type II RTA; RTA - proximal; Renal tubular acidosis type II

Causes, incidence, and risk factors

Your kidneys help regulate your body's acid-base balance (pH). Acidic substances in the body are buffered (counteracted) by alkaline substances, primarily bicarbonate.

The kidneys contain more than a million filtering units, called nephrons. Bicarbonate is reabsorbed into the blood in the initial (proximal) part of the tubule of each nephron. Proximal renal tubular acidosis (Type II RTA) occurs when bicarbonate is not properly reabsorbed by the proximal tubules, leaving the body in an acidic state (called acidosis).

Type II RTA is less common than Type I RTA. It most often occurs during infancy, and may go away by itself.

Causes of type II RTA include:

  • Cystinosis
  • Drugs such as ifosfamide (a chemotherapy drug), outdated tetracycline, aminoglycoside antibiotics, or acetazolamide
  • Fanconi syndrome
  • Inherited fructose intolerance
  • Multiple myeloma
  • Primary hyperparathyroidism
  • Sjogren syndrome
  • Wilson's disease
Symptoms

Other symptoms can include:

Signs and tests

Arterial blood gas and blood chemistries may suggest metabolic acidosis and electrolyte imbalances, most often low levels of potassium or bicarbonate.

Other tests that may be done include:

This disease may also change the results of the following tests:

Treatment

The goal is to restore the normal pH (acid-base level) and electrolyte balance to the body. This will indirectly correct bone disorders and reduce the risk of osteomalacia and osteopenia in adults.

Some adults may need no treatment. All children need alkaline medication to prevent acid-induced bone disease, such as rickets, and to allow normal growth. The underlying cause should be corrected if it can be found.

Alkaline medications include sodium bicarbonate and potassium citrate. They correct the acidic condition of the body and correct low blood potassium levels. Thiazide diuretics may indirectly decrease bicarbonate loss but may worsen the low blood potassium levels.

Vitamin D and calcium supplements may be needed to help reduce skeletal deformities resulting from osteomalacia or rickets.

Expectations (prognosis)

Although the underlying cause of proximal renal tubular acidosis may go away by itself, the effects and complications can be permanent or life-threatening. Treatment is usually successful.

Complications
  • Electrolyte imbalances, such as hypokalemia
  • Osteomalacia
  • Rickets
Calling your health care provider

Call your health care provider if you have symptoms of proximal renal tubular acidosis.

Get medical help immediately if you develop any of the following emergency symptoms:

Prevention

Most of the disorders that cause proximal renal tubular acidosis are not preventable.

References

Seifter JL. Acid-base disorders. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 119.

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Definition

Vertigo is a sensation of motion or spinning that is often described as dizziness.

Vertigo is not the same as light-headedness. People with vertigo feel as though they are actually spinning or moving, or that the world is spinning around them.

Causes, incidence, and risk factors

There are two types of vertigo:

  • Peripheral vertigo occurs if there is a problem with the part of the inner ear that controls balance (vestibular labyrinth or semicircular canals) or with the vestibular nerve, which connects the inner ear to the brainstem.
  • Central vertigo occurs if there is a problem in the brain, particularly in the brainstem or the back part of the brain (cerebellum).

Vertigo related to the inner ear may be caused by:

Vertigo related to the vestibular nerve may be caused by:

  • Inflammation (neuronitis)
  • Nerve compression (usually a noncancerous tumor such as a meningioma or schwannoma)

Vertigo related to the brainstem may be caused by:

Symptoms

The primary symptom is a sensation that you or the room is moving or spinning. With central vertigo, there are usually other symptoms from the condition causing the vertigo. Symptoms can include:

The spinning sensation may cause nausea and vomiting in some people.

Signs and tests

A physical exam may reveal:

  • Eye movement problems, involuntary eye movements (nystagmus)
  • Lack of coordination and balance, difficulty walking
  • Hearing loss
  • Weakness

Tests to determine the cause of vertigo may include:

Treatment

Medications to treat peripheral vertigo may include:

  • Anticholinergics (such as scopolamine)
  • Antihistamines (such as meclizine)
  • Benzodiazepines (such as diazepam or lorazepam)
  • Promethazine (to treat nausea and vomiting)

Benign positional vertigo is most often treated with physical maneuvers that help reposition small structures in the semicircular canals of the inner ear. This reduces or stops the vertigo.

The cause of central vertigo should be identified and treated as appropriate.

Try to avoid head positions that cause vertigo. Use caution in situations such as driving, walking, or operating heavy equipment. Even short episodes of vertigo may be dangerous.

Expectations (prognosis)

The outcome depends on the cause.

Complications

Persistent, unrelieved vertigo can interfere with driving, work, and lifestyle. It can also cause falls, which can lead to many injuries, including hip fractures.

Calling your health care provider

Call for an appointment with your health care provider if vertigo is persistent or troublesome.

References

Baloh RW. Hearing and equilibrium. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 454.

Bauer CA, Jenkins HA. Otologic symptoms and syndromes. In: Cummings CW, Flint PW, Haughey BH, et al., eds. Otolaryngology: Head & Neck Surgery. 4th ed. Philadelphia, Pa: Mosby Elsevier; 2005; chap 126.

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Definition

Electronystagmography is a test to look at voluntary and involuntary eye movements. It evaluates the acoustic nerve, which runs from the brain to the ears (and control hearing and balance) and the occulomotor nerve, which runs from the brain to the eyes.

Alternative Names

ENG

How the test is performed

Patches called electrodes (similar to those used with ECG, but smaller) are placed above, below, and to the side of each eye. They may be attached by adhesive or by a band around the head. Another electrode is attached to the forehead.

The electrodes record eye movements that occur when the inner ear and nearby nerves are stimulated by delivering cold and warm water to the ear canal at different times. Sometimes, the test is done using air instead of water. Each ear is tested separately.

When cold water enters the ear, it should cause rapid, side-to-side eye movements called nystagmus. The eyes should move rapidly away from the cold water and slowly back. Next, warm water is placed into the ear. The eyes should now move rapidly toward the warm water then slowly away.

Patients may also be asked to use their eyes to track objects, such as flashing lights.

The electrodes detect the length and speed of eye movements, and a computer records the results.

The test takes about 90 minutes.

Electronystagmography provides exact measurements of eye movements detected by the electrical changes the movements produce. It is more objective than simply watching the eyes after flushing warm or cold water into the ears. It can record behind closed eyelids or with the head in a variety of positions.

How to prepare for the test

No preparation is necessary. Check with your health care provider if you are taking any medications.

How the test will feel

There is minimal discomfort. You may find cold water in the ear uncomfortable. Brief dizziness (vertigo) may occur during the test.

Why the test is performed

The test is used to determine whether a balance or nerve disorder is the cause of dizziness or vertigo.

Your doctor may order this test if you have dizziness or vertigo, impaired hearing, or suspected damage to the inner ear from certain medications.

Normal Values

Distinct involuntary eye movements should occur after instillation of warm or cold water into the ear canal.

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What abnormal results mean

Abnormal results may be a sign of damage to the nerve of the inner ear or other parts of the brain that control eye movements.

Any disease or injury that damages the acoustic nerve can cause vertigo. This may include:

  • Blood vessel disorders with bleeding (hemorrhage), clots, or atherosclerosis of the blood supply of the ear
  • Cholesteatomaand other ear tumors
  • Congenital disorders
  • Injury
  • Medications that are toxic to the ear nerves, including aminoglycoside antibiotics, some antimalarial drugs, loop diuretics, and salicylates
  • Multiple sclerosis
  • Movement disorders such as progressive supranuclear palsy
  • Rubella
  • Some poisons

Additional conditions under which the test may be performed:

What the risks are

There is a small risk associated with the caloric stimulation part of the test. Excessive water pressure can injure a previously damaged eardrum, but this rarely occurs. Caloric stimulation should not be performed if your eardrum has been perforated recently because of the risk of causing ear infection.

References

Griggs RC, Jozefowicz RF, Aminoff MJ. Approach to the patient with neurologic disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier. 2007: chap 418.

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Definition

Acute tubular necrosis is a kidney disorder involving damage to the tubule cells of the kidneys, resulting in acute kidney failure.

Alternative Names

Necrosis - renal tubular; ATN; Necrosis - acute tubular

Causes, incidence, and risk factors

Acute tubular necrosis (ATN) is caused by lack of oxygen to the kidney tissues (ischemia of the kidneys).

The internal structures of the kidney, particularly the tissues of the kidney tubule, become damaged or destroyed. ATN is one of the most common structural changes that can lead to acute renal failure.

ATN is one of the most common causes of kidney failure in hospitalized patients. Risks for acute tubular necrosis include:

Liver disease and kidney damage caused by diabetes (diabetic nephropathy) may make a person more susceptible to the condition.

ATN can be caused by:

  • Exposure to medications that are toxic to the kidneys (such as aminoglycoside antibiotics)
  • Antifungal agents (such as amphotericin)
  • Dye used for x-ray (radiographic) studies
Symptoms

Note: Other symptoms of acute kidney failure may also be present.

Signs and tests

Examination usually indicates acute kidney failure. There may be signs of fluid overload, including abnormal sounds on listening to the heart and lungs with a stethoscope (auscultation).

Other signs include:

Treatment

In most people, acute tubular necrosis is reversible. The goal of treatment is to prevent life-threatening complications of acute kidney failure during the time the lesion is present.

Treatment focuses on preventing the excess build-up of fluids and wastes, while allowing the kidneys to heal. Patents should be watched for deterioration of kidney function.

Treatment can include:

  • Identifying and treating the underlying cause of the problem
  • Restricting fluid intake to a volume equal to the volume of urine produced
  • Restricting substances normally removed by the kidneys (such as protein, sodium, potassium) to minimize their buildup in the body
  • Taking medications to help control potassium levels in the bloodstream
  • Taking water pills (diuretics) to increase fluid removal from the kidney

Dialysis can remove excess waste and fluids. This can make you feel better, and may make the kidney failure easier to control. Dialysis may not be necessary for all people, but is often lifesaving, especially if serum potassium is dangerously high.

Dialysis may be needed in the following cases:

  • Decreased mental status
  • Fluid overload
  • Increased potassium levels
  • Pericarditis
  • Total lack of urine production
  • Uncontrolled buildup of nitrogen waste products
Expectations (prognosis)

The duration of symptoms varies. The decreased urine output phase may last from a few days to 6 weeks or more. This is occasionally followed by a period of high urine output, where the healed and newly functioning kidneys try to clear the body of fluid and wastes.

One or two days after urine output rises, symptoms reduce and laboratory values begin to return to normal.

ComplicationsCalling your health care provider

Call your health care provider if your urine output decreases or stops, or if you develop other symptoms of acute tubular necrosis.

Prevention

Promptly treating conditions that can lead to decreased blood flow and/or decreased oxygen to the kidneys can reduce the risk of acute tubular necrosis.

Blood transfusions are crossmatched to reduce the risk of incompatibility reactions.

Control conditions such as diabetes, liver disorders, and cardiac disorders to reduce the risk of acute tubular necrosis.

Carefully monitor exposure to medications that can be toxic to the kidney. Have your blood levels of these medications checked regularly. Drink a lot of fluids after having any radiocontrast dyes to allow them to be removed from the body and reduce the risk of kidney damage.

References

Goldman L, Ausiello D. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders; 2007 Chapter 121

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