Flashcards in ENT Deck (60)
Loading flashcards...
1
clue for epiglotitis(3)
sore throat
difficulty swallowing
fever
2
harsh shrill in epiglotitis
stridor
3
most common bugs causing epiglottis(2)
Hi flu
strep pyogenes
4
why epilotitis is an emergency?
risk of airway obstruction
5
how to perform rine test
place a tuning fork on mastoid
than when the patient cannot feel it put it in front of ear
6
interpretatin of rine test normal
air conducted sound should be heard twice as long as bone conducted sound
7
abnormal rine test
bone conducted sound is longer than air conducted sound
8
importance of rine test
detect conductive hearing problem
9
weber test
helps differentiate conductive from sensorineural problem
10
how to perform weber test(2)
tuning fork is placed on forehead
sound must be equal for both ears
11
weber test loudest to the left(lateralisation to the left)
conductive problem in the left
12
why conductive problem gives lateralisation to the left
because the affected ear is cutt off from the external noise
13
weber in sensorineural problem
lateralisation to the unaffected ear
14
interpretation of weber(2)
loudest sound can mean conductive problem in the lateralized ear
can also mean sensorineural problem in the opposite ear
15
cause of conductive hearing loss(4)
cerumen impaction
middle ear fluid or infection
otosclerosis
bone tumor in the middle ear
16
Quid of otosclerosis(2)
decreased movements of small bones of the ear
stapes foot plate become fixed to the oval window
17
Rx of otosclerosis(2)
hearing amplification
surgical stapedectomy
18
age for otosclerosis
20' 30'
19
clue for leukoplakia
granular white patch in oral mucosae
20
risk factor of leukoplakia(2)
smoke
alcohol
21
complication of leukoplakia
squamous celle carcinoma in ten years
22
patient with fever chills difficulty swallowing sore throat muffled voice dx?
peritonsillar abcess
epiglotitis
23
clinical clue for peritonsillar abces helping differentiate it from epiglotitis
deviation of the uvula
unilateral lymphadenopathy
24
rx en urgence de peritonsillar abcess and why?(2)
needle peritonsillar aspiration
to prevent airway obstruction
25
dx for a patinet with recurrent mouth ulcer and abdominal pain
chron
26
work up for chron(4)
Abdominal CT
small bowell fluoroscopic study
endoscopy
biopsy
27
biopsy in chron (2)
granuloma
30% des cas
28
HIV patient with hearing problem
serous otitis media
29
physical exam for serous otitis media(2)
dull
hypomobile tympannic membrane
30
