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Flashcards in ENT Deck (27):
0

squamous debris on TM after chronic purulent ear infx OR foul smelling discharge despite tx of perfed TM
Dx and tx?

Choleastoma, refer to ENT

1

aspirin related hearing loss
Description and time course

Described as high pitched tinnitus
reversible in a week after its off

2

what is the deal with hearing loss assoc w/ meningitis

usu w/in 1st 24 hours, not related to severity of illness etc.

3

what is behavioral observational audiometry and when is it used?

for infants < 6 mos, screening only. if failed need ABR

4

what is visual reinforcement audiometry and when is it used?

for preschools to test for b/l hearing loss that interferes with language

5

tympanometry, describe and the dz:
1. flat
2. high
3. volume

flat: stiff membrane/middle ear fluid/obstructed tube
high: hypermobile TM
high volume: perfed TM/continuity between middle/outer ear, absence of pressure or mobility

6

acute onset of unsteadiness and decreased hearing
Dx and tx

acute perilymph fistula - refer to ENT

7

benefit of tympanostomy tubes in recurrent AOM

prevent cholesteoma

8

most common cause of suppurative otitis media AND how to dx from cholesteatoma. How to distinguish. Tx?

absence of keratinized epithelial tissue rules out cholesteatoma
Cause of suppurative otitis is psedomonas or staph, tx w/ topical ofloxacin

9

complication of tympanostomy tube causing bloody d/c and red mass

granuloma

10

cyanosis with feeding, resolves with crying
Dx

choanal atresia (blocked nasal)

11

widening of retropharyngeal space... child is < 4, and will hyperextend neck

retropharyngeal abscess

12

greyish coagulum w/ thin rim of bright erythema

aphthous ulcer / canker sore

13

tender red nodule on cheek after cold pacifier?

cold induced panniculitis
self resolves

14

wet variably pitched stridor vs high pitched stridor and weak cry vs hoarseness

wet: laryngomalacia
hi/weak: paralyzed vocal cords (b/l)
hoarse: unilateral cord paralysis

15

weak cry w/ no effect changing positions. Constant

laryngeal web

16

tracheo vs laryngomalacia

tracheal: expiratory stridor
laryngo: inspiratory stridor

17

feeding difficulties and expiratory stridor

think of a vascular ring around the trachea and esoph

18

biphasic stridor (insp/exp)

congenital / acquired subglottic stenosis often with louder inspiratory stridor
supraglottic / epiglottitis

19

position difference in epiglottitis vs bacterial tracheitis

sitting forward drooling in epiglottitis
supine in tracheitis

20

which test to order?
1. subglottic stenosis
2. vocal cord dysfunction
3. vascular ring

1. direct laryngoscopy, bronchoscopy
2. flexible nasolaryngoscopy/DLB, CXR, barium swallow
3. barium swallow

21

viral croup other name

laryngotracheobronchitis

22

bifid uvula should have you think of what? study?

submucus cleft palate
do tympanometry to assess mobility of TM

23

preauricular adenopathy and conjunctivitis

adenovirus

24

chronic adenopathy, HSM, exposure to farm animals or unpasteurized milk ingestion

brucellosis

25

most common cause of bacterial parotitis

staph aureus

26

cleft lip/palate combo more common in boys or girls?

more common in boys.