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HENT > Conditions of the Ear > Flashcards

Conditions of the Ear Flashcards

1
Q

What is the management of Ramsay-Hunt Syndrome?

A

Corticosteroids, HSV Anti-Virals
Analgesics, topical antibiotics
Eye care

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2
Q

Most pathogens grown in what kind of environment?

A

Alkaline environment

Why it is more common for swimmers ear to be caused from a pool than pond/lake

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3
Q

What is the treatment for otitis externa?

A

Clean Ear Canal
Acidify ear canal (most ototopical meds are acidic)
Antibiotic ototopicals

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4
Q

If unable to visualize the tympanic membrane which antibiotic should be considered?

A

Fluoroquinolones because they are not ototocix

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5
Q

Is recurrence of infection suspected with fungal otitis externa infections?

A

Yes, 4-6 weeks after initial infection

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6
Q

What is the recommended treatment for an auricular hematoma?

A

EENT referral for an I&D
Topical Anti-staph antibiotics

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7
Q

For removing bugs from ear canals what should be done first?

A

Drown insects with mineral oil or lidocaine before attempting removal

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8
Q

Is the eustachian tube normally closed or open?

A

Closed, opened by palate muscles

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9
Q

What are the three functions of the Eustachian Tube?

A

Equalizes pressure in middle ear
Drains mucus
Prevents reflux of fluid into middle ear

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10
Q

What are the two types of Otitis Media?

A

Serous
Supportive

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11
Q

How is otitis media with effusion (OME) defined?

A

Presence of fluid in the middle ear without signs or symptoms of an acute ear infection

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12
Q

How is recurrent otitis media (ROAM) defined?

A

Multiple episodes of AOM with symptom free periodsd

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13
Q

How is chronic otitis media with effusion (COME) defined?

A

Persistent fluid in the middle ear iwth no signs of inflammation (fever, otalgia)

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14
Q

What groups are at high risk for AOM?

A

Trisomy 21
Immune deficiency
Native Americans
Males

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15
Q

What is the treatment for acute serous otitis media?

A

Treat underlying illness, supportive

It is not bacterial, it does not require antibiotics

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16
Q

What is the treatment for acute suppurative otitis media?

A

Antibiotic (Amoxacillin)

If worsening of sx or no improvement after 48-72 hours, change antibiotics!

17
Q

What are the most common bugs that cause AOM?

A

Strep pneumoniae
H. Flu

18
Q

What are the indications for ear tubes in recurrent AOM?

A

> /= 3 separate episodes of AOM in 6 months
OR
/= 4 episodes of AOM in 12 months

19
Q

If amoxicillin doesn’t work which antibiotic class should be used?

A

Beta-lactamase coverage (Augmentin)

20
Q

What is Oscillopsia?

A

Jumping images

21
Q

What is the most important test in working-up vertigo?

A

Audiogram

22
Q

What is the gold standard for working-up vertigo?

A

MRI with Gadolinium contrast

HENT (8 decks)

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