1: Ear Pain Flashcards

1
Q

What is 50% of otalgia due to

A

Referred pain

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2
Q

What are 6 local causes of otalgia

A
  • Otitis externa
  • Otitis media
  • Barotrauma
  • Furuncle
  • Ramsay-Hunt
  • Pericohondritis
  • Myringitis
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3
Q

In children, what are CN5 causes of otalgia

A

Teething

Dental disease

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4
Q

In children what are causes of otalgia due to CN9 and CN10

A

Tonsillitis

Pharyngitis

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5
Q

In Adults, what are two CN5 causes of otalgia

A

Dental disease

TMJ joint dysfunction

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6
Q

In Adults, what is a CN7 cause of otalgia

A

Ramsay-Hunt

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7
Q

In Adults, what is a CN10 cause of otalgia

A

Laryngeal Cancer

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8
Q

In Adults, what is a cerival spinal nerve 2 and 3, cause of otalgia

A

Cervical spondylosis

Cervical arthritis

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9
Q

What nerve is responsible for otalgia referred from CN5 pathology

A

Auriculotemporal Nerve

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10
Q

What does the auriculotemporal. N supply

A

Innervates upper 1/2 of pinna

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11
Q

What branch of facial nerve innervates the ear

A

Sensory branch of the facial nerve innervates medial half of tympanic membrane

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12
Q

When may otalgia occur in facial nerve pathology

A

Ramsay-Hunt Syndrome

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13
Q

What branch of CN9 supplies the ear

A

Tympanic branch

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14
Q

What CN10 branch supplies the ear

A

Auricular branch supplies the lateral tympanic membrane

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15
Q

Where does CN10 refer pain from

A

pyriform recess
posterior 1/3 tongue
larynx
throat

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16
Q

Why is otalgia common post tonsillectomy

A

due to referred pain from CN10

17
Q

What C2,C3 branch innervates the ear

A

Great auricular nerve = innervates lower 1/2 of pinna

18
Q

Where does C2,C3 refer pain from

A

Cervical arthritis
Soft-tissue injury
Cervical spondylosis

19
Q

What is ramsay hunt syndrome

A

Re-activation of herpes zoster virus in geniculate nucleus

20
Q

What is the first-feature or ramsay hunt

A

Auricular pain

21
Q

What are other features of ramsay hunt

A

Vesicular rash
Facial Nerve Palsy
Vertigo and Tinnitus

22
Q

how is ramsay hunt managed

A

Acyclovir and corticosteroids