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MD 3 - Paeds > ENT > Flashcards

Flashcards in ENT Deck (18):
1

most common bacteria to cause otitis meda

streptococcus pneumoniae
haemophilus influenzae
moraxella catarrhalis

2

complications of acute otitis media

- TM perforation
- serous otitis media "glue ear"
- febrile convulsion
- facial nerve palsy
- lateral sinus thrombosis
- mastoiditis

3

when should you consider AB for a child with otitis media with effusion

for symptomatic cases that have not resolves in 3 months

4

definition of quisy

cellulitis of space behind tonsillar capsule extending onto soft palate leading to abscess formation

5

what do you see on otosocopy in a child with otitis media with effusion

- meniscus fluid level behind the TM
- air bubble
- amber/dull TM

6

clinical presentation of epiglottitis

4 D's = drooling, dysphagia, dysphona, distress
- toxic appearance
- stridor
- high fever

7

what are the causes of persistent lymph node enlargement

- atopic eczema
- chronic infection
- malignancy - lymphoma, leukaemia
- rheumatological - juvenile chronic arthritis, SLE

8

lymph node enlargement characteristic of bacterial infection

- large nodes >10mm
- tender
- may be fluctuant
- most often on anterior part of neck
- often assoc with fever, warm, erythematous overlying skin

9

complications of quinsy

- aspiration pneumonia secondary to spontaenous rupture of abscess
- airway obstruction
- bacteraemia
- retropharyngeal abscess

10

lymph node enlargement characteristic of viral infection

- small
- firm
- non-tender

11

definition of epiglottitis

acute inflammation of the supraglottic region of the oropharynx

12

when should you consider giving AB for otitis media

- less than 12 months old
- Unwell for beyond 24-48 hours

13

signs that point to bacterial pharyngitis over viral

- fever
- tonsillar exudate
- tender enlarged cervical lymph nodes
- absence of cough

14

typical triad of presentation in quinsy

trismus
uvular deviation
dysphonia

15

things you see on otoscopy in a child with acute otitis media

tympanic membrane dull and opaque
bulging tM
loss of light reflex

16

absolute indications for surgical tonsillectomy

- sleep disordered breathing
- recurrent throat infections
- tonsillary hypertrophy
- suspicion of malignancy
- haemorrhagic tonsillitis

17

which AB should you give for otitis media

amoxicillin

18

otitis media characterized by

presence of fluid in the middle ear