Pediatric ENT Flashcards Preview

AANP FNP: Pediatrics > Pediatric ENT > Flashcards

Flashcards in Pediatric ENT Deck (19):
1

Bacterial conjunctivitis

- purulent
- EEC, tetracycline, polymyxin B

2

Gonococcal conjunctivitis

- must culture conjunctivitis

3

Allergic conjunctivitis

- stringy, tearing
- oral antihistamines
- refer to allergist/ophth

4

Viral conjunctivitis

- watery
- moderate: saline drops, antihistamines
- sulfacetamide 10 percent ophth solution for bacterial prophylaxis (Bleph 10)

5

Herpetic conjunctivitis

- bright red and irritated
- refer to ophthalmologist

6

When to refer strabismus?

fixed
≥ 6 months old
hypertropia and hypotropia

7

Otitis externa (Swimmer's ear)

- fungal: black specks, odor, treat with antifungal
- bacterial: acetic acid, cortisporin (neomycin, polymyxin B)

8

Acute otitis media

- S. pneumoniae, H. influenzae
- Signs/symptoms: impaired TM mobility
- pain management (tylenol, benzocaine otic drops)
- watchful waiting 48 to 72 hours, then amoxicillin 80-90 mg/kg/day, BID for 10 days
- prevent with vaccines, avoid secondhand smoke

9

Otitis media with effusion (OME)

- hearing loss, popping, pressure, air bubbles behind TM, decreased membrane mobility
- Tx: Watchful monitoring x3 months

10

Which middle ear bone touches the umbro of the TM?

Stapes
Anvil
+++Malleus+++

11

Assessment of conductive hearing loss

Weber: lateralizes to AFFECTED ear
Rinne: abnormal in affected ear (AC less than BC)

12

Causative organisms of Pharyngitis/Tonsillitis

Viral: RSV, influenza, EBV
Bacterial: Group A beta hemolytic strep, gonorrhea

13

Centor criteria

Fever (greater than 100.4F)
Lack of cough
Exudate
ANTERIOR cervical adenopathy

14

Treatment of positive strep test

Pen VK 250mg PO TID x10 days
or if allergic, EEC 250mg PO QID x10 days

15

Epiglottitis

- bacterial: S. pneumoniae, H. flu
- high fever, drooling, respiratory distress, "thumb sign" on x-ray
- Immediate hospitalization

16

Croup

- viral infection of the larynx
- URI, barking cough, stridor, low grade fever, lungs clear
- "steeple sign" on x-ray
- treat mild cases as outpatient, supportive
- hospitalize severe cases, steroids and racemic epinephrine

17

Mononucleosis (Epstein Barr Virus)

- fever, severe pharyngitis, malaise, POSTERIOR cervical adenopathy, tonsillar exudate, splenomegaly, may have rash
- diagnose with Monospot
- supportive treatment, avoid contact sports 3 weeks to several months to avoid splenic rupture

18

Sinusitis (Rhinosinusitis)

- S. pneumoniae, H. influenzae, M. catarrhalis
- CT scan is preferred, culture
- augmentin x10 days, change to Levaquin if no improvement in 3 days (no quinolones in ≤ 9 years old)
- refer recurrent, chronic, or refractory sinusitis to ENT

19

Assessment of sensorineural hearing loss

Weber: lateralizes to UNAFFECTED ear
Rinne: normal in affected ear (not a good test for this)