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ECOS II Exam 2 > 15: Approach To ENT Complaint > Flashcards

15: Approach To ENT Complaint Flashcards

1
Q

When do frontal sinuses develop

A

Age 8-10

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2
Q

Testing for nasal obstruction

A

Press on each ala and ask pt to breath in and out

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3
Q

What does pressing on tip of nose test for

A

Local infection/ furuncle

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4
Q

Cobblestoning of back of throat - explain

A

Its basically lymphoid tissue - changes w diff conditions

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5
Q

Where on external ear to check for tenderness

A

Travis

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6
Q

Two general hearing tests

A

Ringer rub and whisper test

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7
Q

Ten HEENT LNs to palpate **

A
  1. Pre-auricular
  2. Posterior auricular
  3. Tonsillar
  4. Occipital
  5. Superficial cervical
  6. Posterior cervical
  7. Supraclavicular
  8. Sub mental
  9. Submandibular
  10. Deep cervical chain
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8
Q

How to palpate thyroid

A
  1. Stand behind and grip neck on both sides, with index fingers just below cricoid cartilage, ask pt to swallow
  2. Displace trachea to right and left, palpating, and ask pt to swallow in both positions
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9
Q

Allergic rhinitis

A

Inflammation of nose due to allergen -> sneezing, rhinorrhea, nasal obstruction

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10
Q

Anterior epistaxis

A

Most common nose bleed, usually affects vascular watershed area of nasal septum

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11
Q

Posterior epistaxis

A

Less common, more significant bleeding, affecting posterolateral branches of sphenopalatine A

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12
Q

Virus that causes infectious mononucleosis

A

Epstein Barr Virus

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13
Q

Classic triad of mono symptoms

A

Fever, tonsillar pharyngitis, lymphadenopathy

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14
Q

Coryza

A

Inflamed mucus membrane

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15
Q

Ddx for pharyngitis

A

mono, GERD, post-nasal drip due to rhinitis, persistent cough, thyroiditis, allergies, foreign body, smoking

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16
Q

Bacteria that causes strep**

A

Group A beta-hemolytic streptococcus (streptococcus pyogenes)

17
Q

Centor score for strep: five things that give you a point towards strep

A
  1. Children 3-14 year old
  2. fever over 100.4
  3. Absence of cough
  4. Tender anterior cervical LNs
  5. Tonsillar exudate
18
Q

Otitis interna - other name

A

Labyrinthitis

19
Q

Five types of otitis media

A
  1. Acute OM
  2. Acute suppurative OM
  3. OM with effusion
  4. Chronic OM with effusion
  5. Chronic suppurative otitis media
20
Q

Acute suppurative OM

A

Acute OM with purulent material in the middle ear

21
Q

OM with effusion

A

Inflammation and fluid buildup in the middle ear without bacterial or viral infection

22
Q

Chronic OM with effusion

A

Fluid remains in middle ear and continues to return without bacterial/viral infection

23
Q

Chronic suppurative otitis media

A

Persistent ear infection that often results in tearing or perforation of TM

24
Q

First two tests for pt’s hearing

A

Weber and Rinne tests

25
Q

Weber hearing test

A
  1. Tuning fork above head at midline - sound should be heard equally
  2. If sound lateralizes to a side, do the Rinne test
26
Q

Rinne test

A

Testing air vs bone conduction - normal hearing should be air conduction heard greater than bone conduction

27
Q

Conductive hearing loss findings on rinne test

A

Bone conduction > air conduction on affected side

28
Q

Causes of conductive hearing loss

A

Cerumen impaction, middle ear fluid, lack of movement of ossicles, trauma, other cause of obstruction such as tumors

29
Q

Causes of sensorineural hearing loss

A

Hereditary, Ménière’s disease, MS, trauma, ototoxic drugs, barotrauma

30
Q

Double sickening

A

Illness that initially gets slightly better then gets worse

31
Q

What does BPPV stand for?

A

Benign paroxysmal positional vertigo

32
Q

Two types of otosclerosis

A
  1. Conductive loss: ossicle in a mass

2. Sensory loss: otic capsule sclerosis

33
Q

With which condition does double sickening occur

A

Bacterial sinusitis

34
Q

Vertigo due to CN 8 inflammation with just dizziness vs dizziness + hearing loss

A

Dizziness: vestibular neuritis

Dizziness + hearing loss: labyrinthitis

ECOS II Exam 2 (8 decks)

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