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MS4 - GP > Earache > Flashcards

Earache Flashcards

1
Q

Referred pain to ear causes

A 
Infection:
- dental abscess 
- tonsillitis 
- herpes / ramsay hunt
Temporo-mandibular arthritis
Cancer: 
- base of tongue carcinoma 
- Larynx carcinoma
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2
Q

Nerve responsible for referred earache of dental abscess

A

trigeminal n

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3
Q

Nerve responsible for referred earache of base of tongue carcinoma

A

glossopharyngeal n

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4
Q

Nerve responsible for referred earache of ramsay hunt

A

facial n

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5
Q

Nerve responsible for referred earache of larynx carcinoma

A

vagus n

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6
Q

Signs of otitis media

A
  • bulging of tympanic membrane
  • air-fluid level behind membrane
  • otorrhoea
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7
Q

otorrhoea

A

ear discharge

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8
Q

Middle ear inflammation signs

A

red TM

otalgia (earache)

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9
Q

RFs for OM

A
  1. passive smoking
  2. formula milk
  3. craniofacial syndrome (cleft palate, downs syndrome)
  4. male
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10
Q

Bacterial causes of OM

A

strep pneumonia
Haemophilus influenza
Moraxella catarrhalis

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11
Q

Abx for OM

A

5 days
amoxicillin
or erythromycin

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12
Q

NICE guideline on abx for OM

A

< 3 mo old
systemically unwell
at risk of serious complications

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13
Q

Temp measurement for <4 wk old

A

electronic thermometer in axilla

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14
Q

Temp measurement for 4wk - 5 yrs

A
  • electronic thermometer in axilla
  • chemical dot thermometer in axilla
  • infra-red tympanic thermometer
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15
Q

Normal range of resp rate for < 2mo

A

<60

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16
Q

Normal range of resp rate for < 12 mo

A

<50

17
Q

Normal range of resp rate for < 5 yrs

A

<40

18
Q

Normal range of resp rate for < 8 yrs

A

<30

19
Q

Normal range of resp rate for < 14yrs

A

<20

20
Q

Normal range of heart rate for < 12 mo

A

<160

21
Q

Normal range of heart rate for < 5 yrs

A

<120

22
Q

Normal range of heart rate for < 14yrs

A

<110

23
Q

Otitis externa causes

A

infection
allergy
iatrogenic (syringing)

24
Q

Risk factors for otitis externa

A

moisture - swimming
foreign body
trauma
chronic skin disease - eczema/psoriasis

25
Q

Otoscopy findings of OE

A

dermatitis of ear canal

discharge

26
Q

OE meds

A

Topical prep for 7 dys:

  • aminoglycosides + steroids
  • abx drop only
27
Q

Gentamaicin CI for OE

A

avoid if TM perforation

MS4 - GP (12 decks)

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