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Foundations II Exam 1 > 2- External ear > Flashcards

2- External ear Flashcards

1
Q

How do patients present with cerumen impaction

A 
hearing loss 
ear ache 
reflex cough (CN X) 
dizziness
tinitus
itchiness
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2
Q

How do you treat cerumen impaction

A

detergent ear drops
mechanical removal
body temperature water (dry after irrigation)

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3
Q

When should you NOT irrigate

A

when the TM is not intact

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4
Q

What side are FB mostly

A

R sided (because of being right handed)

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5
Q

What may symptoms of a FB be

A

usually asymptomatic but can be decreased hearing, pain, drainage, chronic cough, hiccups

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6
Q

What FB are the most dangerous

A

button batteries, insects, and penetrating FB- urgent removal!

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7
Q

What is otitis externa

A

inflammation of the EAC

aka “swimmer’s ear”

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8
Q

What are RF for otitis externa

A 
warm humid climate
water exposure
trauma
occlusive device 
term debris (eczema)
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9
Q

What can otitis externa lead to

A

periauricular cellulitis
contact dermatitis
malignant otitis externa

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10
Q

What causes otitis externa

A

Bacteria (gram - pseudomonas)
allergic
dermatologic
fungal (aspergillus, candida)

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11
Q

What is the clinical presentation of otitis externa

A

foul smelling/purulent dx, ear canal granulation, CN palsies, HA, otalgia, pruritus,

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12
Q

What will a CT of malignant otitis externa show

A

osseous erosion

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13
Q

What will you see on otitis externa PE

A

erythema/edema, purulent exudate, tenderness with triages pressure, canal edema w/ possible TM obstruction

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14
Q

What will the TM do in otitis EXTERNA

A

TM will be mobile with pneumatic otoscopy

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15
Q

How do you treat otitis externa

A

7-10 days Topical Aminoglycoside/fluoroquinone

+/- corticosteroids

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16
Q

How do you treat malignant otitis externa

A

IV Quinolone/surgery

17
Q

How should you support medical treatment of otitis externa

A

Keep canal dry
Keep canal open with a wick
NO drops if TM is perforated

18
Q

What patient education is important with otitis externa

A 
avoid water accumulation
wear ear plugs when swimming
hair dryer to dry ear canal
Acidifying drops into ear canal
stop removing wax!
19
Q

What is Ramsay Hunt Syndrome

A

HSV causes vesicles on outer ear and facial paralysis

20
Q

What is a hematoma of the external ear

A

traumatic auricular hematoma that can develop into cauliflower ear if not drained ASAP

Foundations II Exam 1 (25 decks)

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