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Flashcards in 2- External ear Deck (20)
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1

How do patients present with cerumen impaction

hearing loss
ear ache
reflex cough (CN X)
dizziness
tinitus
itchiness

2

How do you treat cerumen impaction

detergent ear drops
mechanical removal
body temperature water (dry after irrigation)

3

When should you NOT irrigate

when the TM is not intact

4

What side are FB mostly

R sided (because of being right handed)

5

What may symptoms of a FB be

usually asymptomatic but can be decreased hearing, pain, drainage, chronic cough, hiccups

6

What FB are the most dangerous

button batteries, insects, and penetrating FB- urgent removal!

7

What is otitis externa

inflammation of the EAC
aka "swimmer's ear"

8

What are RF for otitis externa

warm humid climate
water exposure
trauma
occlusive device
term debris (eczema)

9

What can otitis externa lead to

periauricular cellulitis
contact dermatitis
malignant otitis externa

10

What causes otitis externa

Bacteria (gram - pseudomonas)
allergic
dermatologic
fungal (aspergillus, candida)

11

What is the clinical presentation of otitis externa

foul smelling/purulent dx, ear canal granulation, CN palsies, HA, otalgia, pruritus,

12

What will a CT of malignant otitis externa show

osseous erosion

13

What will you see on otitis externa PE

erythema/edema, purulent exudate, tenderness with triages pressure, canal edema w/ possible TM obstruction

14

What will the TM do in otitis EXTERNA

TM will be mobile with pneumatic otoscopy

15

How do you treat otitis externa

7-10 days Topical Aminoglycoside/fluoroquinone
+/- corticosteroids

16

How do you treat malignant otitis externa

IV Quinolone/surgery

17

How should you support medical treatment of otitis externa

Keep canal dry
Keep canal open with a wick
NO drops if TM is perforated

18

What patient education is important with otitis externa

avoid water accumulation
wear ear plugs when swimming
hair dryer to dry ear canal
Acidifying drops into ear canal
stop removing wax!

19

What is Ramsay Hunt Syndrome

HSV causes vesicles on outer ear and facial paralysis

20

What is a hematoma of the external ear

traumatic auricular hematoma that can develop into cauliflower ear if not drained ASAP