Rhinology Flashcards

(42 cards)

1
Q

what is acommon nasal histroy questins

A

nasal obstrucion
nasal discharge
epistaxis
facial pain
nasal deformity
anosmia
sneezing

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2
Q

past medical hisotry for nasal issues

A

astham/ asprin sensitivity
nals surgers
nasal trama

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3
Q

what occupation help are risk for nasal issues

A

woodworkers

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4
Q

what social issuteroy factrso should be taken into condisuder for nasal issues

A

cociaine use
alchol.
smoking

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5
Q

what are ways to examine nose

A

flexile endocope
nasal endocpe -for lokgn back

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6
Q

blood investigations for nasal polyps

A

rast - allergen tests
ace - raised in autimmiuen disease
esr- inflation
fbc
anca - autoimmune conditions

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7
Q

what other scans can be used for nose

A

mri
ct
skin tests

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8
Q

what is rhinomanometry

A

measures airflow and pressure in the nose

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9
Q

how do skin tests work

A

use contorl - sailien
use postive conorl - histaem
inkect small amount of particles into skin

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10
Q

what can be seen in ct imaging

A

sinuses and look for nsals polpys

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11
Q

where is a septal hemaoma found

A

witin cartilag eof septum of nose and can bulge out into nostrils

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12
Q

danger of septal hemaotam

A

can reudce blood flwo leading to necrosi of tissue and sepsis

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13
Q

what contidions can cause nasial po;ys

A

cf
allergic fungul sinitis
churg strauss sydrome - inflamtory disease o small and medim sized blood vessels

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14
Q

investigion for cystic firbos

A

sweat test

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15
Q

what are you testing in nasla smear

A

mircobiolgy
eosiphils
neurotpilsy

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16
Q

when should you use coronal ct san

A

tofind polpys

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17
Q

treatment for nasal polpsy

A

oral and nasal steroid with lower biopiality
asprin desensitization
treat allergic rhinitis and asthma

18
Q

surgical treamtent for nasal po;lys

A

endoscopic sinus serugy
medical polpyecotmy
medical tratmenta logn temr

19
Q

what to do is sinuits is acute and mild

A

treat with just algeisa

20
Q

what to do with moderate sinusitius

A

offer tropical steriods and monitor effect

21
Q

what to do with severe acute sinusitis

A

antibiotics
tropical steroids

22
Q

when to refre if acutre sevre sinisuts does not have a effect

A

after 48 hours

23
Q

diagnosi cirestse for acutre sinisutis

A

nasal blockage or obstuction or severe nasal discharge
with or without facial pain and reduction in smell

24
Q

after what period is acutre sinsuis able to be disagoined moderate or sevre

A

5 days of symptoms

25
causes of acutre bacterial rhionositus
s. pneumoniae h. influezna
26
what is bacterial treatment for acutre rhiosinuetiis
b lactalms - peniclin and cephalopsoin macrolides - clarithromycin
27
what are the diagnoist cirteiar for chonc sinusitis
atleast 2 for 12 weeks consecutive nasal bostion faicla pain nasal driainge hyposmia / anosmia - change in sencre of smell objective evidence on physical examination
28
way of diagnosi chronic cyantis
ct of brain
29
what is the treatment for sinusitus that obstucts eye
iv antiboid adn emergy draige surgyer
30
danger of frontal sinsu enlargemtne
they can damage brain if become too larger
31
diplopia
double viiosn
32
what is ethomidal mucoscele
benign cysts that grows in ethmoidal sinodi
33
treatmet for ethmoidal mucoscle
fess - functial endocopic sinual surgery
34
epistaxis
nose bleed
35
cause of node bleed
infectin tranua allergy hypertion adn vasuce disease heridatroy hemorrhagic telangiectaisa blood dyscrasisa trophic rhinitis tumour congentital
36
what physical exam for nose bleed
anteri rhiniocoy endoscopic rhinosocpy
37
treatemt for non stop bleeding of nose
antier nas al pakc postial nals packing
38
long term treatmetn forepisastic
artery ligation , at certian levles laser coagulation young's procedure (closing nose for period of time then reopeing nostrels septodermoplasty - remove prat of nose that frequency bleeds and replace it with a skin grwath
39
type of nositl caner that can bleed profusely
angiofirbroma
40
who can get angiofirboma
men who are in teens, does not effect women
41
how to trat angiofibroma
surger with pre surgial embolism
42