Clinical Ear Eval - Rosas Flashcards
REVIEW - Probs on test!
5 branches of facial nerve (superior to inferior)
Temporal Zygomatic Buccal Mandibular Cervical
Common thing to check if the patient has ear pain and doesn’t seem to have any pathological features upon exam…
Could be referred pain from the TMJ
Normal Rinne test
Bone conduction vs Air conduction?
Bone conduction SOFTER THAN Air conduction
Abnormal Weber?
The loudness will be lateralized to one side or the other
What does tympanometry measure?
It measures the mobility of the tympanic membrane
So it may be inflexible because of fluid build up or a perforation
It could have negative pressure
It could be be moving much too easily as well
Most common cause of hearing loss?
Presbycusis - progressive loss of hair cells
Surgical treatment for otosclerosis?
Stapedectomy
problems due to stiffening of ossicular chain
A patient presents with asymmetric senesoroneural hearing loss on one side and vertigo. It then progresses to create facial paralysis and trigmeninal numbness as well. What are you thinking?
Acoustic Neuroma that is beignning to press on the facial and trigmeninal nerves as well
Most important physical exam for Benign Paroxysmal Poistional Vertigo:
Dix Hallpike Exam!
What is the history like on peeps with BPPV?
Post trauma or infection
Brief episodes of positional vertigo, fatigue
Usually have normal hearing
Why do diuretics and satl restrictive diets helps with managment of Menier’s disease?
The theory is that the problems has to do with abnormal pressure in the inner ear. By controlling fluids and stuff it is possible to minimize the unfortunate symptoms
What is anotia?
Completely lacking the ear
What is microtia?
Ear abnormalities Grade 1 is slightly abnormal 2 in between 3 almost completely gone Range in severity
What is lop ear?
Basically it just makes your ears stick out
Not a big problem except for the ridicule that can sometimes accompany it -
How can you differentiate relapsing polychondritis from a cellulitis infection?
Relapsing polychonditis:
ESR and IgG elevation but normal CBC
Cellulitis will have abnoral CBC
What should you tell patients who get keloids easily?
How do you treat early and late diagnosis?
Don’t pierce your ears ya crazies!
Early treat with steroids, late with excision
Important reason to treat auricular hematoma?
Untreated will result in cauliflower ear
They are caused by trauma, need to treat with incision, drainage, and bolster
What is something you see in lake-jumping norwegians?
Benign ear canal projections called: Osteomas and exostosis
What’s an example of something that can metastasize and be very fatal in the ear canal?
Carcinoma of the ear canal
How do you treat ear canal stenosis?
Canalplasty to enlarge ear canal!
Treatment of cholesteoma?
Surgery indicated to avoid bone erosion and ear destruction
