1 Flashcards
node biopsy: mirror image nuclei
Mirror image nuclei = Reed-Sternberg cells = Hodgkin’s lymphoma
type of lymphoma that has ‘alcohol pain’
Hodgkin’s lymphoma
facial palsy in which forehead is affected
bels palsy
bels palsy treatment
prednisolone 1mg/kg for 10 days should be prescribed for patients within 72 hours of onset
nasal polyps are associated with sensitisation to which drug
aspirin
Main features associated with Cholesteatoma
fouls smelling discharge and hearing loss
vertigo + hearing loss and tinnitus
menieres
vertigo on position change
BPPV
diagnostic test for BPPV
Dix-Hallpike manoeuvre
treatment for BPPV
Epley manoeuvre
drug, dose and route given in anaphylaxis
500micrograms of adrenaline given IM
first line treatment for otitis externa
topical antibiotic or a combined topical antibiotic with steroid
facial palsy + ear pain + tympanic vesicles
Ramsay Hunt syndrome
audiogram: what is normal hearing in regards to normal dB
anything above 20dB
In sensorineural hearing loss what will audiology look like?
both air and bone conduction are impaired (both below 20dB)
In conductive hearing loss what will audiology look like?
only air conduction is impaired
In mixed hearing loss what will audiology look like?
both air and bone conduction are impaired, with air conduction often being ‘worse’ than bone
Unilateral sensorineural hearing loss, and associated vertigo
Acoustic neuroma
Acoustic neuromas is also called a
Vestibular Schwannoma
Bilateral acoustic neuromas are seen in which condition
neurofibromatosis type 2
Investigation of choice is acoustic neuroma/vestibular Schwannoma are suspected
MRI of the cerebellopontine angle
Normal results that should be seen in rinses test
air conduction should be louder than bone conduction
During Webbers test: in unilateral sensorineural deafness, sound is localised to the _______ side
unaffected side
During Webbers test: in unilateral conductive deafness, sound is localised to the _______ side
affected side
Do you get systemically unwell with otitis media?
yes
otitis media isn’t usually treated with antibiotics, but if it is, what abx is given
a 5-day course of amoxicillin is first line. In patients with penicillin allergy, erythromycin or clarithromycin should be given.
The Centor criteria are: (4)
presence of tonsillar exudate
tender anterior cervical lymphadenopathy
history of fever
absence of cough
what censor score is required to suggest ABX is required
3/4