ENT Flashcards
(52 cards)
What is glue ear
otitis media with effusion
Positive rinnes test means?
normal
ie air>bone
webers test lateralises to where
Affected ear in conductive
unnaffected ear in sensorineural
Post viral horizontal nystagmus no tinnitus no hearing loss
vestibular neuritis
nasal septal haematoma tx
complications `
immediate ENT referal for drainage
saddle nose bc disrupted vasc supply to cartilage
how to differentiate nasal septal haematoma from deviated septum
this may be differentiated from a deviated septum by gently probing the swelling. Nasal septal haematomas are typically boggy whereas septums will be firm
Auricular haematomas tx and complication
same day ENT asssesment for incision and drainage to prevent cauliflower ear
nasopharyngeal carcinoma type
SSC
nasopharyngeal carcinoma sx
Nasopharyngeal carcinoma is more common in people of Asian origin, and typically presents with epistaxis, headaches, lymph node metastasis or unilateral hearing loss.
unilateral middle ear effusion in adult can be presenting sign
perf Tympanic membrane that doesnt heal tx
myringoplasty
‘Consider making an urgent referral (to be seen within 2 weeks) to an ear, nose and throat service for adults of Chinese or south-east Asian family origin who have
hearing loss and a middle ear effusion not associated with an upper respiratory tract infection’.
nasopharyngeal carcinoma
Bugs causing otitis media
resp epithelium =
haemophilis influ. B
strep pneum
moraxella
what is ramsey hunt
Ramsay Hunt syndrome (herpes zoster oticus) is caused by the reactivation of the varicella zoster virus in the geniculate ganglion of the seventh cranial nerve.
ramsey hunt sx
auricular pain is often the first feature
facial nerve palsy
vesicular rash around the ear
other features include vertigo and tinnitus
ramsey hunt tx
oral acyclovir and oral corticosteroids
ototoxic meds
gentamicin
furesomide
quinine
aspirin
chemo agents
Globus hystericus
This is the sensation of a lump being stuck in the throat, with no physical findings present
Globus, hoarseness and no red flags
¬hing on CXR and larygoscopy
laryngopharyngeal reflux
rinne and weber result of sensurineural hearing loss of left ear
postive rinnes bilaterally
weber lateralises to right ear
acoustic neuroma/vestibular schwannoma sx (depending on cranial nerve)
cranial nerve VIII: hearing loss, vertigo, tinnitus
cranial nerve V: absent corneal reflex
cranial nerve VII: facial palsy
bilateral acoustic neuroma
neurofibromatosis type 2
when to refer a child with glue ear to ENT
if they have persisting significant hearing loss on two separate occasions (usually 6-12 weeks apart)
unilateral glue ear in adult mx
refer two week wait ENT for malignancy
posterior nasal space tumor
nasal polyps tx
Intranasal corticosteroid spray or drops can be used to shrink nasal polyps ie
intranasal mometasone furoate,
fluticasone furoate,
fluticasone propionate
drops if severe obstruction
