Flashcards in ENT Deck (27):
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
aspirin related hearing loss
Description and time course
Described as high pitched tinnitus
reversible in a week after its off
what is the deal with hearing loss assoc w/ meningitis
usu w/in 1st 24 hours, not related to severity of illness etc.
what is behavioral observational audiometry and when is it used?
for infants < 6 mos, screening only. if failed need ABR
what is visual reinforcement audiometry and when is it used?
for preschools to test for b/l hearing loss that interferes with language
tympanometry, describe and the dz:
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
acute onset of unsteadiness and decreased hearing
Dx and tx
acute perilymph fistula - refer to ENT
benefit of tympanostomy tubes in recurrent AOM
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
complication of tympanostomy tube causing bloody d/c and red mass
cyanosis with feeding, resolves with crying
choanal atresia (blocked nasal)
widening of retropharyngeal space... child is < 4, and will hyperextend neck
greyish coagulum w/ thin rim of bright erythema
aphthous ulcer / canker sore
tender red nodule on cheek after cold pacifier?
cold induced panniculitis
wet variably pitched stridor vs high pitched stridor and weak cry vs hoarseness
hi/weak: paralyzed vocal cords (b/l)
hoarse: unilateral cord paralysis
weak cry w/ no effect changing positions. Constant
tracheo vs laryngomalacia
tracheal: expiratory stridor
laryngo: inspiratory stridor
feeding difficulties and expiratory stridor
think of a vascular ring around the trachea and esoph
biphasic stridor (insp/exp)
congenital / acquired subglottic stenosis often with louder inspiratory stridor
supraglottic / epiglottitis
position difference in epiglottitis vs bacterial tracheitis
sitting forward drooling in epiglottitis
supine in tracheitis
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
viral croup other name
bifid uvula should have you think of what? study?
submucus cleft palate
do tympanometry to assess mobility of TM
preauricular adenopathy and conjunctivitis
chronic adenopathy, HSM, exposure to farm animals or unpasteurized milk ingestion
most common cause of bacterial parotitis