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Flashcards in Passmed ENT Deck (6)
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1
Q

Define Ramsay Hunt

A
VZV 7th cranial nerve
auricular pain
facial nerve palsy
vesicular rash
vertigo/tinnitus
2
Q

Mx of Ramsay Hunt

A

Oral aciclovir + CS

3
Q

When to prescribe ABx in AOM

A

Symptoms lasting more than 4 days or not improving
Systemically unwell but not requiring admission
Immunocompromise or high risk of complications secondary to significant heart, lung, kidney, liver, or neuromuscular disease
Younger than 2 years with bilateral otitis media
Otitis media with perforation and/or discharge in the canal

4
Q

Abx for AOM

A

Amoxicillin 5-7d

If allergic - erythromycin/clarithroymicn

5
Q

Sequale of AOM/complications

A
perforation - ottorhea
Hearing loss
Labrynthitis
Mastoiditis
Meningitis
Brain abscess
Facial nerve paralysis
6
Q

Persistent unexplained hoarseness >45 years

A

Urgent ENT referral

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