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Flashcards in ENT Deck (60)
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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