random questions Flashcards
what is ludwig’s angina
type of progressive cellulitis that invades the floor of the mouth and soft tissues of the neck
most cases result from odontogenic infections
features of ludwig’s angina
neck swelling
dysphagia
fever
management of ludwig’s angina
life-threatening emergency
airway management
IV abx
what is mastoiditis
develops when an infection spreads from the middle of the mastoid air spaces to the temporal bone
presentation of mastoiditis
otalgia: behind the ear
history of otitis media
fever
patient typically unwell
erythema and tenderness over mastoid process
ear discharge
diagnosis of mastoiditis
typically clinically, CT may be ordered
management of mastoiditis
IV antibiotics (co-amoxiclav)
complications of mastoiditis
facial nerve palsy
hearing loss
meningitis
presentation of peritonsillar abscess
severe throat pain, lateralises to one side
deviation of the uvula to the unaffected side
trismus (difficulty opening the mouth)
reduced neck mobility
management of quinsy
needle aspiration or incision and drainage + IV abx
tonsillectomy
what is ramsay hunt syndrome
reactivation of the varicella zoster virus in the geniculate ganglion of the seventh cranial nerve
presentation of ramsay hunt syndrome
auricular pain
facial nerve palsy
vesicular rash around the ear
vertigo and tinnitus
management of ramsay hunt syndrome
oral aciclovir and corticosteroids
