EENT Flashcards

1
Q

Most specific and clinically useful test for diagnosing AOM

A

pneumatic otoscopy

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2
Q

Etiology of AOM

A
  • H flu
  • S pneumo
  • M cat
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3
Q

Predisposing Conditions/Risk Factors for AOM

A

-daycare
-males
-abnormal/short eustachian tube
-allergy, immunodeficiency
-cigarette smoke
-

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4
Q

Etiology of Otitis Externa

A
  • bacterial
  • fungal
  • excess cerumen cleaning
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5
Q

Etiology of Sinusitis

A
  • H flu
  • M cat
  • S pneumo
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6
Q

Etiology of Mono

A

Epstein Barr virus

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7
Q

Symptoms:

  • Otalgia/earache
  • URI sxs
  • Fever
  • Hearing loss/decreased
  • Pulling on ears
  • Irritability
A

AOM

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8
Q

Symptoms:

  • Fatigue
  • Sore throat
  • Malaise, HA, low grade fever
  • Palatal petechiae
  • Lymphadenopathy posterior cervical
A

Mono

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9
Q

Symptoms:

  • Painless, slowly progressive visual loss
  • Asymptomatic
  • Scotomas
  • Increased IOP
  • Increased cup:disk ratio
A

Primary open angle glaucoma

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10
Q

Sxs:

  • Lipid cyst near eye
  • Painless
A

Chalazion

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11
Q

Sxs:

  • Otalgia
  • Hearing loss
  • Fever
  • Erythematous, edematous
  • Ear pain with manipulation of pinna
A

Otitis externa

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12
Q

Sxs:

  • HA, retroorbital pain, otalgia
  • Nasal congestion, chronic cough, pain on sinus palpation
A

Sinusitis

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13
Q

Sxs:

  • Ocular or facial pain
  • Blurred vision, colored halos
  • N/V/HA
  • Increased IOP
  • Conjunctival injection
  • Fixed, mid-dilated pupil
A

Acute angle closure glaucoma

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14
Q

Sxs:

  • Acute onset sore throat, dysphasia
  • Fever
  • Malaise
  • Exudates, erythematous throat
  • Tender anterior cervical nodes
A

Bacterial pharyngitis (Strep)

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15
Q

Sxs:

  • Runny nose, congestion, sinus pain
  • Sore, scratchy throat, hoarseness, cough, throat erythema
  • HA, malaise, aches, fever
  • Inflamed mucose
A

URI

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16
Q

Sxs:

  • Itchy eyes, nose, throat
  • Runny nose, sneezing, congestion
  • PND
  • Shiners due to increased blood flow
A

Allergic rhinitis

17
Q

Sxs:

  • Sore throat, cough
  • Enlarged tonsils, pharyngeal erythema, tonsillar exudates
  • Anorexia
  • Chills, malaise
  • HA
A

Viral pharyngitis

18
Q

Sxs:

  • Decreased vision
  • White pupil
  • Insidious blurry vision
A

Cataracts

19
Q

Sxs:

  • Acute inflammation or infx of eyelid margin
  • Localized inflammation, swelling, tenderness
  • Small pustule
  • Itching and scaling of eyelids
  • Collection of discharge, redness, irritation
A

Hordeolum (sty)

20
Q

Sxs:

  • Usually no decrease in vision
  • Red eye with conjunctival injection
  • FB sensation
  • Eyelid sticking or crusting
  • Discharge
A

Conjunctivitis

21
Q

Signs of AOM

A
  • decreased mobility of TM
  • otorrhea if perforated
  • bulging, cloudy, erythematous TM
22
Q

Labs for Strep Pharyngitis

A
  • rapid strep
  • throat culture
  • elevated WBCs
23
Q

Risk Factors for Sinusitis

A
  • viral URI, allergic rhinitis, asthma
  • smoking
  • immunodeficiency, CF, obstruction, polyps
24
Q

How is the diagnosis made for chronic sinusitis (lab/imaging)?

A

CT sinus scan is gold standard

25
Q

Labs for Mono

A
  • Mono spot
  • WBC with diff
  • EBV titer
  • rule out strep throat
26
Q

What is the big symptom TRIAD for mono?

A
  • fever
  • tonsillar pharyngitis
  • lymphadenopathy
27
Q

Sempter’s Triad

A
  • nasal polyps
  • asthma
  • aspirin sensitivity