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Flashcards in ENT Deck (60):
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

cause of serous otitis media in HIV

non infectious
auditory tube dysfunction by lymphadenopathy or obstruting lymphoma

31

type of hearing loss in serous otitis media

conductive

32

clue for presbycusis(3)

older people
60'
decreased hearing ability

33

risk factor for presbycusis(5)

age
genetics
medication
history of infection
exposure to loud noise

34

characteristic for pesbycusis

difficulty hearinf in noisy crowded environment

35

ototoxic medication(2)

furosemide
aminoglycoside

36

risk to have ototoxicity with furosemide(2)

renal failure
concomitant use of gentamycine

37

right sided ear pain in patient with normal physical exam and history of grinding teeth

temporomandibular joint dysjunction

38

Meniere disease cause

abnormal accumulation of endolymphe in inner ear

39

clue for menniere(5)

vertigo
tinnitus
sensorineural hearing loss
nystagmus
ear fullness

40

trigger of menniere(4)

salt
alcohol
caffeine
nicotine

41

medication to treat menniere

diuretics
anticholinergic
antihistamines

42

first measure in menniere(2)

lifestyle modification
salt restriction less than 2 a 3 g de sel par jour

43

If lifestyle fails in menniere what to do

medication

44

quid of vertigo

spinning sensation with nausea

45

wheezing after ingestion of aspirin

aspirin exacerbated respiratory disease

46

what is always associated with aspin induced respiratory disease

nasal polyps

47

triad for AERD

bland tasting food
recurrent nasal discharge
nasal polyps

48

complication of malignant externa otitis

skull osteomyelitis
facial nerve destruction

49

dx of complicated otitis externa malignant(2)

MRI or
CT

50

RX of Malignant externa otitis and bugs in cause(2)

pseudomonas aeruginosa
ciprox

51

patient develops neck pain and impossibilty bof open mouth after being scrathed the back of the throat by chicken bone

retropharyngeal abcess

52

Dx of retro pharyngeal abcess

CT of neck
lateral xrays of neck

53

rx of retro pharyngeal abcess

antibio
surgical drainage

54

quid of trismus

inability to open mouth

55

why retro pharyngeal abcess is an emergency

because of risk of mediastinitis

56

which neck space involvement carries the higher risk for mediastinitis?

retropharyngeal space

57

why retropharyngeal space is called danger zone

high risk of medistinitis

58

quid of ludwig angina

submandibular space infection
don't cause mediastinitis

59

diabetes with ear pain and granulation tissue in external ear

Malignant otitis externa

60

rx of malignant otitis externa

systemic ciprox