EENT Flashcards
nasal discharge, sneezing, sore throat, fatigue, fever past few days
viral URI
throat pain, fever, pharynx erythema and exudate
pharyngitis
tx for viral uri
Symptoms persist in 7-9 days Fluids and rest Decongestants Acetaminophen NSAIDs
tx for pharyngitis
Penicillin
Amoxicillin
If PCN allergy: cefadroxil, azithromycin, keflex
Fever, weakness, sore throat, lymphadenopathy, tough grey exudate, bull neck
diptheria
subglottic inflammation
stridor
lateral neck radiographs with “steeple sign”
Croup
tx for croup
Supportive
Supplemental oxygen
Nebulized epi to dec subglottic inflammation
Systemic steroids
Difficulty swallowing Fever Drooling Foul breath unilat cervical adenopathy hot potato voice
Peritonsillar Abscess (Quinsy)
Tx for peritonsillar abscess
Amoxicillin
Clindamycin
I and D at ENT
Respiratory distress Stridor Visualize red epiglottis fever dysphagia dysphonia sore throat
Epiglottitis
Tx for epiglottitis
Maintain airway
Ampicillin
Hoarseness Inflammation of larynx
laryngitis
tx of laryngitis
Rest and hydration
vesicles around mouth
herpes simplex
tx of herpes
acyclovir
3 yo child vesicles all over hands, feet and mouth
Herpangina (Hand, foot and mouth disease)
Tx of herpangina
symptomatic
mouth pain with white curd like plaques that bleed when scraped
oral candidiasis
Tx of oral candidiasis
Topical: nystatin or clotrimazole
Oral: fluconazole
acute pain, swelling and erythema near gland esp with meals
dysphagia, fever, chills
Sialolithiasis
TX of Sialolithiasis
Hydrate: lemon candy, warm compress
Abx: dicloxacillin, amoxicillin
Pain medication
Possible I and D if not better
small round painful yellow/white ulcer with erythamatous halo
Apthous Stomatitis Minor
Tx of Apthous Stomatitis Minor
Lasts 10-14 days and heals without scarring
can use topical analgesics
large ulcer >1 cm, usually multiple lesions
Apthous Stomatitis Major
Tx of Apthous Stomatitis Major
Lasts 2-6 weeks
Heals with scarring
lots of vesicle lesions 1-3 mm ulcer
Herpetiform Aphthous Stomatitis
Tx of Herpetiform Aphthous Stomatitis
Heals in 7-10 days
Lesions extend from vermillion border to lips and perioral area
vesicles on tonsils and posterior pharynx
Oral Herpes Simplex Virus
Tx Oral Herpes Simplex Virus
Primary tx: supportive with lidocaine, oral NSAIDs
Antivirals: acyclovir, valacyclovir, famvir
NO corticosteroids
Topical: denavir
Lacy, wickham striae lesions
Oral Lichen Planus
Tx Oral Lichen Planus
Bx gingiva for definitive dx
No cure: optimize oral hygine
Topical corticosteroids: clobtasol and betamethasone propinate
Unilateral Lacy, wickham striae lesions
Oral Lichen Drug Reactions (OLDR)
painless white patchy lesion in mouth that cannot be scraped off
Leukoplakia (precancer)
Tx of Leukoplakia
Dx with bx
Smoking cessation
Excision
erythematous asymptomatic macule or plaque in mouth
Soft velvety texture
Erythroplakia
Tx of Erythroplakia
Bx for dx
Excise
Recurrence is common
eye with purulent discharge, crusting, no visual changes
Bacterial Conjunctivitis
tx Bacterial Conjunctivitis
Topical ABX-TMP/polymixin B drops AM, erythromycin ointment at night
Refer to opth if GC or chlamydia and give ceftriaxone and azithromycin
watery discharge, some morning crusting, tearing, erythema
viral conjunctivitis
tx viral conjunctivitis
supportive
dendritic lesions and branching seen with fluorescein staining
Herpes Simplex Keratitis