Pestana- 10. Otolaryngology Flashcards Preview

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Flashcards in Pestana- 10. Otolaryngology Deck (26)
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1

What should you expect if you see a midline neck mass, at the level of the hyoid that seems connected to the tongue?

thyroglossal duct cyst

2

What all do you take out when removing the thyroglossal duct cyst?

cyst
middle segment of hyoid bone
track that leads to the base of the tongue

3

What do you need to check for before removing thyroglossal duct cyst?

location of the normal thyroid

4

Where do branchial cleft cysts occur?

along the anterior edge of the SCM

5

What do you think of with a large, mushy, ill-defined mass that occupies the entire supraclavicular area and seems to extend deeper into the chest?

cystic hygroma

6

What do you need to get before removing cystic hygroma?

CT

7

What do you do for a patient with an enlarged lymph node for 2 weeks?

follow up in 3-4 weeks

8

What do you do if a patient has enlarged lymph nodes for weeks to months?

rule out neoplasia

9

What do you expect in a patient with multiple enlarged lymph nodes, low-grade fevers and night sweats?

lymphoma

10

What do you expect in an adult who has sensory hearing loss in one ear but not the other?

acoustic nerve neuroma

11

How do you diagnose acoustic nerve neuroma?

MRI

12

What is the best test to diagnose facial nerve tumor?

gadolinium-enhanced MRI

13

What are most parotid masses?

pleomorphic adenomas

14

What is a hard mass of the parotid that is painfus and causing facial nerve paralysis?

parotid cancer

15

How do you diagnose parotid masses?

FNA (NEVER DO OPEN BIOPSY)

16

How do you treat a parotid mass?

take out the whole parotid gland (or superficial part)

17

What do you think of in a toddler with a unilateral ENT problem?

foreign body

18

What is the name of a mouth floor abscess usually 2/2 bad tooth infection?

Ludwig angina

19

What is the sudden paralysis of the facial nerve?

Bell's palsy

20

What is the first sign of cavernous sinus thrombosis?

diplopia (paralysis of extrinsic eye muscles)

21

What other symptoms will a patient with cavernous sinus thrombosis be presenting with ?

sinusitis (frontal or ethmoid)

22

What can control epistaxis in children?

phenylephrine spray and local pressure

23

What is the cause of epistaxis in an 18 year old?

1- cocaine abuse = septal perf
2- juvenile nasopharyngeal angiofibroma

24

What may help a patient with vertigo?

meclizine
promethazine
diazepam

25

What does a patient with Meniere disease present with?

vertigo
tinnitus
hearing loss

26

How do you treat meniere disease?

diuretics