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Clin Med Fall Exam 1 > Disorders of the ear > Flashcards

Disorders of the ear Flashcards

1
Q

What is an auricular hematoma?

A

deformity of the ear due to traumatic blood buildup

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2
Q

How do you treat an auricular hematoma?

A

I&D pack the wound to prevent refilling provide abx with pseudomonas coverage

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3
Q

What drug do you not use in kids?

A

Fluoroquinolones

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4
Q

What happens if auricular hematomas go untreated?

A

cauliflower ear

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5
Q

What is auricular cellulitis ?

A

inflammation of the auricle

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6
Q

How can you quickly differentiate auricular cellulitis from chondritis or perichondritis?

A

Auricular cellulitis involves the ear lobe while the other two do not.

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7
Q

What is the most common pathogen for auricular cellulitis?

A

Group A Strep

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8
Q

What drugs work well against auricular cellulitis?

A

Penicillin, Amox-Clav, or cephalexin

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9
Q

a 50-year-old woman with clear saddle nose deformity. What would you dx her with based on this info?

A

Relapsing polychondritis

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10
Q

What is relapsing polychondritis?

A

a rare degenerative disease characterized by recurrent inflammation of the cartilage in the body.

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11
Q

How would you dx otitis externa?

A

Red swollen canal
Tragual tenderness
Pneumatic otoscopy

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12
Q

What usually causes otitis externa?

A

gram + rods (pseudomonas, proteus)

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13
Q

What would you treat otitis externa with?

A

ABx drops Fluoroquinolones are safest for the ear

aminoglycosides are good too

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14
Q

What is an osteoma?

A

benign pearly bony growth in the external auditory canal

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15
Q

What is exostosis?

A

bone on bone growth in the inner ear

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16
Q

What is the treatment for osteoma and exostosis

A

surgical removal or debridement

17
Q

What does exposure to cold wind and water cause?

A

suffers ear, exostosis

18
Q

What is the most common infection that abx are prescribed for ?

A

acute otitis media

19
Q

What are some sx for acute otitis media

A

fever
otalgia
pressure
decreased hearing

20
Q

Should you observe or treat a pt who is less than 6 months old ?

A

treat over 6 months observe unless it is severe

21
Q

A pt has just been exposed to an IED concussing the eardrum and rupturing it. Upon inspection, there is cerumen impaction what two things should you not do?

A

irrigate or remove cerumen

use ototoxic corticosteroids

22
Q

What are common organisms found in chronic otitis media?

A

pseudomonas
proteus
staph aureus

23
Q

What is a cholesteatoma

A

negative middle ear pressure due to eustachian tube dysfunction, a retraction pocket forms, and a build-up of skin cells and debris collect

24
Q

What is the tx for cholesteatoma?

A

surgical excision

25
Q

What is eustachian tube dysfunction?

A

-Failure of the functional valve of the eustachian tube to open or close properly, causing air to be trapped in the middle ear and negative pressure develops

Clin Med Fall Exam 1 (9 decks)

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