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Flashcards in General facts Deck (78)
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1

Two causes of deafness

Conductive and sensorineural

2

5 causes of conductive deafness

wax
acute otitis media
otitis media externa
otosclerosis
perforated ear drum

3

4 causes of sensorineural deafness

presbycusis
noise induced
congenital
vestibular schwannoma

4

Presbycusis =

deterioration in hearing as patients age

5

main cause of presbycusis

loss of sensitivity of delicate hair cells in the cochlea

6

otosclerosis =

abnormal bone formed around stapes foot plate

7

otosclerosis causes what type of deafness

conductive

8

treatment of otosclerosis

stapedectomy

9

how far away must you stand to perform the whisper test

1m

10

What does Rinne's test check?

Checks air compared to bone conduction

11

AC>BC =

middle and outer ear functioning normally

12

BC > AC

conductive deafness

13

In webers test the noise lateralised towards ....

the ear with conductive hearing loss

14

In webers test the noise lateralises away .....

from the ear with sensorineural deafness

15

In a dead ear the result is .... .

false -ve

16

Tympanometry tests

the compliance of middle ear structures

17

why might bone anchored hearing aids be used? (2)

chronic infection or shape of the ear canal

18

Croup =

acute laryngotracheobronchitis

19

main treatment of croup =

dexamethasone single dose
Nebulised ventolin
Paracetamol

20

Usual cause of acute epiglottitis

Haemophilus influenzae (B)

21

What musn't you do in children with acute epiglottitis?

persist in examining the child's throat

22

Treatment of epiglottitis

Admit and give IV amoxycillin

23

Quinsy =

peritonsillar abscess

24

Quinsy presentation (4)

Acute tonsilitis
+ spike temp
+ severe dysphagia
+ referred otalgia

25

What is found on examination w/ quinsy?

Trismus
Buccal mucosa is furred
Foetor (strong foul breath)

26

Treatment of a quinsy

IV AB and drainage of the abscess

27

Drugs causing ototoxicity (4)

Aminoglycosides e.g. streptomycin
Cisplatin (chemo)
Furosemide
Quinine

28

5 key questions in a nose history

Nasal obstruction
Ant. rhinorrhea
Hyposmia
Epistaxis
Facial pain

29

5 key questions in an ear history

Otalgia
Otorrhea
Hearing loss
Tinnitus
Dizziness

30

5 key questions in a throat history

Dysphagia
Sore throat
Odynophagia
Dysphonia
Regurgitation