Corrections 2 Flashcards
What are some associations with nasal polyps?
- asthma (particularly late-onset asthma)
- aspirin sensitivity
- infective sinusitis
- CF
- Kartagener’s syndrome
- Churg-Strauss syndrome
What medication is it important to avoid in a patient with nasal polyps?
Aspirin - association with aspirin sensitivity
What is Samter’s triad?
1) aspirin sensitivity
2) asthma
3) nasal polyposis
Mx of ALL nasal polyps?
all patients with suspected nasal polyps should be referred to ENT for a full examination
What medication can be used to shrink nasal polyps?
Steroids
Hearing loss in labyrinthitis vs neuronitis?
No hearing loss in vestibular neuronitis
Mx of vestibular neuronitis?
A short oral course of prochlorperazine in the acute phase only.
Why is prochlorperazine only used in the acute phase in the mx of vestibular neuronitis?
It should be stopped after a few days as it delays recovery by interfering with central compensatory mechanisms
Criteria for a tonsillectomy?
Patients would need to have had it 7 times in the last year or 5 times a year for two consecutive years.
What drugs can cause tinnitus?
1) aspirin/NSAIDs
2) aminoglycosides
3) loop diuretics
4) quinine
Give some causes of tinnitus
1) idiopathic
2) Meniere’s disease
3) otosclerosis
4) sudden onset sensorineural hearing loss (SSNHL)
5) acoustic neuroma
6) hearing loss e.g. excessive loud noise and presbycusis
7) drugs
8) impacted ear wax
Referral for laryngeal cancer?
A suspected cancer pathway referral for laryngeal cancer (appointment within 2 weeks) should be considered in people aged 45 and over with persistent unexplained hoarseness or an unexplained lump in the neck.
Mx of child with a first presentation of otitis media with effusion?
Active observation for 3 months
What is the preferred treatment for chronic symptoms in vestibular neuronitis?
Vestibular rehabilitation exercises
1st line mx of vestibular neuronitis?
3 day course of prochlorperazine
