Dr. Sayalee Karve

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A routine brain MRI with attention to the internal auditory meatus should be requested in acute cases where no cause is detected and idiopathic origin is assumed. These individuals are usually started on oral corticosteroids with a prednisone dose of 1 mg/kg/day (max 60 mg/day) for seven days and then decreased during the following week.

Hearing aids, of which there are many sorts, are the basis of treatment in chronic situations. Even in mild or severe cases of presbycusis, hearing aids are beneficial to the majority of patients. [19] There is no way to restore former hearing thresholds, and due to psychosocial comorbidities, audiological rehabilitation support is especially necessary in these patients.

The most prevalent equipment for treating hearing loss are traditional behind-the-ear air conduction hearing aids.

Hearing aids with bilateral microphones and contralateral signal routing (BiCROS) are similar, but a microphone also helps the better hearing ear on the same side.

As per the complaints, this is a case of Sinusitis.

If you have sinusitis, the doctor may be able to recommend additional medications to relieve your symptoms, such as steroid nasal sprays or drops to reduce sinus swelling.

antihistamines - if your symptoms are caused by an allergy

Antibiotics - if you have a bacterial infection and are severely sick or at risk of consequences, antibiotics may be prescribed (but antibiotics are often not needed, as sinusitis is usually caused by a virus)

• Older individuals are more prone to falls and fractures. The incidence of ankle fractures in older patients is high and severe in some cases. The treatment is difficult and complicated in nature due to presence of comorbidities such as diabetes, obesity, hypertension and poor bone quality.
• Treatment goals include: Stability of the joint, ability of the patient to perform daily activities independently and minimizing complications associated with fracture and other comorbid conditions.

RICE is a part of the Non-operative management of ankle fracture in older patients which includes:

R: The importance of rest cannot be overstated. In order for the fracture to heal faster limit yourself from further pressure on the foot. 

A cast will most likely be worn to keep the foot and ankle immobile.  In case of severe soft tissue swelling, a cast may be required for the first three to five days. The brace must be worn for six weeks in order to allow the fracture to heal. Cast fixation with off-loading is advised for poor bone quality depending on the radiography report.  

Ice: For reducing the swelling and inflammation, apply ice to the region for 20 minutes at a time.

 And continue further for every 40 minutes.

Compression: Wrapping the area in a bandage helps to reduce swelling.

Elevation: To assist reduce inflammation, lift your foot and ankle slightly above the level of your heart.