Kulak Burun Boğaz Flashcards
Acute otitis media time
<3 weeks
In acute otitis media
Tympanic membrane
Red, opaque, bulging
the skin is the thickest in the ….
nasion
the skin is the thinnest at the …
rhinion
elevator muscles of the nose
- procerus
- levator labii superioris alaque nasi
- anomalous nasi
depressor muscles of the nose
- alar nasalis
- depressor septi nasi
nasal mucosa
keratizing squamous cell epithelium
at nasal vestibule
inside the nasal cavity, surfaces are composed of
pesudostratified ciliated columnar respiratory cells
nasal septum from anterior to posterior
membranous
cartilaginous
osseous
septal cartilage is primarily composed of
quadrangular cartilage
nasal valve divided into
internal
external nasal valve
…… is the narrowest portion of the nasal airway
this anatomic area comprises The area of greater overall resistance to airflow
internal nasal valve
nasal obstruction structural
congenital abnormalities
pyriform aperture stenosis
choanal atresia
nasal obstruction acquired structural abnormalities
enlarged adenoids
foreign bodies
septal disorders
nasal valve abnormalities
mucoceles
nasal obstruction mucosal- inflammatory
rhinosinusitis
rhinitis
nasal polyps
granulomatosis
sarcoidosis
histiocytosis
drainage of the secretions from the nose or paranasal sinuses into pharynx
postnasal drip
the most common cause of chronic cough
UACS
upper airway cough syndrome
(also the most common cause of acute cough as well)
causes of postnasal drip
children
- alergic rhinitis
- enlarged adenoids
- sinusitis- gastroesophageal reflux
- polyps
- anatomical anomalies
- mucociliary dysfunction
- immunodeficiencies
postnasal drip
adults
- allergic rhinitis
- sinusitis
polyps - anatomical anomalies
- smoking, toxins
- senile rhinitis
- atrophic rhinitis
- vasomototr rhinitis
- postviral upperrespiratory infection
- laryngophrayngeal reflux
- gastroesophageal reflux
short or episodic time course
precipitating factor and the presence of autonomic symptoms= sweating, pallor, nausea, vomiting
there may be associated tinnitus, hearing loss, facial nerve weakness
peripheral vertigo
in …… autonomic symptoms are less severe and associated hearing loss is unusual
central vertigo
vertigo
associated with neurological symptoms
central vertigo
…… may include diplopia, hemianopsia, weakness, numbness, dysarthria, ataxia, loss of consciousness
central vertigo
common causes of peripheral vertigo
- BPPV
- vestibular neuritis
- tumor
- trauma
- bacterial or viral infection
- drug
- menieres disease
central vertigo causes
- meningitis
- vascular diseases
- migraine
- tumors
- trauma
- multiple sclerosis
benign paroksismal vertigo
BPPV
change with head position
no hearing loss
no tinnitus (nöroda var yazıyor haha)
self limited within a few months
vertigo associated with suddenly onset, severely with N/V and nystagmus
often previously viral infections
vestibular neuritis
vertigo, hearing loss, tinnitus and aural fullness
endolymphatic hydrops
menieres disease
conductive hearing loss
external or middle ear pathology