The Ear, Nose, and Throat Infectious Diseases Flashcards Preview

Respiratory 2 > The Ear, Nose, and Throat Infectious Diseases > Flashcards

Flashcards in The Ear, Nose, and Throat Infectious Diseases Deck (27):
1

UR bacteria

Hemo, S pneumo, moraxella

2

Above and below gingival line

Above - facultative

Below - anaerobes

3

Rhinorrhea
Facial pain and fullness
Mouth and tongue pain
Max tooth tenderness

Nasal mucos
Paransal sinusitis
Somtatitis, glossitis
Max sinusits/effusion

4

Ear fullness and apin
Vertigo and tinnitus
Hoarseness and voice change
Dysphage

MIddle ear, aud canal, ET
Inner ear or CN 8
Larynx and peri-laryngeal tissue
Anywhere from oral cavity to distal esophagus

5

Eaustachai tube

Maintains ATMP pressure of middle ear

Young children more horizontal

6

Purulent otitis media

Much more in childrne than adults

Ear pain, spontaineous rupture with drainahe

S. pneumo abd HIb

Conductive hearing loss, mastoitidis, meningitis

7

Serous otitis media

More in children but more in adults (comp to purulent)

Usually virus or allergic

Ear fullness, popping iwth jaw, decreased hearing

8

Otitis externa

Skin infection of ear canal

Bacteira (acute)

Chronic (fungal and allergic)

Ear pain and discharge

Inflamed canal..positive pinna and tragus signs

Malignant otitis externa is a comp

9

Malignant otitis externa

Severe cellulitis

Immunocompromised, diabetics, transplant

P aeru, and auueus

Systemic AB

Systemic infection and osteomyelitis are comps

10

Occams razor

New onset seizrue plus chornic left ear pain...think brain process instead of ear and be careful with LP

11

What drains into the meati

Sup - sphenoid and post ethmoid

Middle - frontal, max, and anterior ethmoid

inf - lacrimal duct

12

Sinus transillumination

Opacified sinus does not transluminate wlell

Good sensitivyt

13

Acute sinusitis

Sinus ostia obstruction

Facial, maxially tooth pain with sinus c ongestion

Facial and max tooth tenderness with abnormlal illumination

Worry baout periorbital ceullitis, meningitis, subdural empyema, cranial sinus thrombosis

14

Pott's puffy tumor

Osteomyelitis of the calvarium as a result of frontal sinusitis

Subdural empyema is a comp

15

Rhinocerebral mucor

Look for necrotic eschar, cranial nerve palsies, and facial assymmety

16

Lung abscess

Think poor dentition plus aspiration

May rupture into pleural space to produce empyema

17

Orofacial actinomycosis

Think sulfur granules

Jaw abscness complicating tooth abscess for 3 mos

18

Candidiasis

Thrush

painless unless moving to pharynx and esophagus

Steroids, diabetes, IC

19

Kaposi sarcoma

Raised red-purple lesion

IC due to HHV 8
Usually extraoral involvement

20

Leukoplakia

Oral - white plaques anywhere...response to chronic irritation - premalignant...need to biopsy

Hairy - corrugated white lesion on lateral aspect of tonuge...from EBV induced epithelial hyperplasia...suspect HIV/AIDS

21

Acute epiglottisi

Usually Hib

Emergency

DO not swab or manipulate...call surg

22

Acute pharyngitis

Sore throad, possibly fever, pain swallowing

GAS, fusobacterium (cololege)

Look for cervical adenopathy that is tender

Comps - peri-tons abscess, superinfection, rheumatic fever

23

Lemierre's syndrome

Begins as pharyngitis due to fuso

Extends into carotid sheath producing septic thrombosis of IJB

Fever, SCMoid, and jaw angle tenderennss, neck stiffness, dysphagia

Thromboemboli travel to lung s

Tx with ABs

24

Submand
Retropharyng
Danger space

Ludwig-s angina
Compromise airway
Can extends into mediastinum

25

Ludwig's angina

Odontogenic infection

Involves submandibular space

Compromises swalling and may progress to airway obstruction with elevation of the tongue

Tx - airway management, surgery, ABs

26

Diptheria

Parhynx and nasal mucosa

Pseudomembrane

Sore throat, fever, malaise, hoarseness

Bull neck

27

Parotitis

Bilateral - viral or inflammatory

Unilateral - Staph aureus