Head and Neck Disease - Ear Flashcards Preview

Path 2 > Head and Neck Disease - Ear > Flashcards

Flashcards in Head and Neck Disease - Ear Deck (20):
1

What is cerumen Impaction

Ear wax.Conductive hearing loss.Clinical – aural fullness, ear pain, vertigo, tinnitus (ringing).Treatment – bicarbonate solution, olive oil, syringing, manual debridement

2

What is Exostoses

Bony protuberances in the external auditory canal composed of lamellar bone. Associated with swimming in cold water

3

What is Otitis Externa

Pseudomonas aeruginosa.Associated with swimming (swimmer’s ear).Associated with Q-tips use.Clinical – pain aggravated by movement of auricle, sticky yellow purulent discharge (otorrhea), post auricular lymphadenopathy.Treatment – Ciprofloxacin drops.

4

What is Malignant Otitis Externa

Osteomyelitis of temporal bone.Risk Factors – Diabetes, immunocompromised.Pseudomonas infection.Clinical – ear pain and discharge.Granulation (connective) tissue

5

What is Acute Otitis Media

Acute inflammation of middle ear.S. pneumonia, H. influenza. Due to eustachian tube dysfunction/obstruction, cilia dysfunction.

6

What are the causes of acute otitis Media

URTI, tumor, barotrauma, Kartagner, immunosuppression.Risk factors – bottle feeding, second hand smoke, daycare, sick contact

7

What are the signs and symptoms of acute otitis media

ear pain, fever, ear tugging, ear discharge.

8

What are the diagnosis of acute otitis media

Otoscopy – bulging TM.

9

What are the complications of acute otitis media

Tympanic Membrane perforation, cholesteatoma, meningitis, brain abscess, facial nerve paralysis

10

What are the treatments

Amoxicillin, macrolide. Complications

11

What is Cholesteatoma

A cyst composed of keratinizing squamous epithelium occurring in middle ear, mastoid & temporal bone

12

How does cholesteatoma present itself

Presents as small white pearl behind

13

What is mastoiditis

-Infection of mastoid air cells after 2 weeks of untreated AOM

14

What is the clinical signs

Clinical triad – ear discharge, tenderness to pressure over the mastoid, retroauricular swelling with protruding ear

15

What is otosclerosis

Fusion of stapes footplate to oval window so that it cannot vibrate.Clinical – conductive hearing loss (2nd MCC)

16

What is Congential Sensorineural Hearing loss

Fusion of stapes footplate to oval window so that it cannot vibrate.Clinical – conductive hearing loss (2nd MCC)

17

What are the Prenatal TORCH

Toxoplasmosis, Others (HIV, syphilis) Rubella, CMV, Herpes simplex.

18

What is Presbycusis

MCC of sensorineural hearing loss.Due to aging. Progressive bilateral hearing loss

19

What is manifestation of Presbycusis

Clinical – inability to tolerate loud sounds, tinnitus, loss of discrimination of speech especially with background noise present

20

What drug ototoxicity

aminoglycosides, streptomycin, gentamicin. Salicylate - Aspirin ( hearing loss with tinnitus). Antimalarial ( quinines), Antineoplastic - Cisplatin and loop diuretics.