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WHOLE PT > Ear > Flashcards

Ear Flashcards

1
Q

Pt hears Weber test on unaffected side?

A

sensory/sudden hearing loss

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2
Q

Pt hears Weber test on affected side?

A

cerum impaction

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3
Q

If pt gets a bug in the ear?

A

use lidocaine to paralyze the bug

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4
Q

If pt gets FB in the ear?

A

DO NOT USE AQUEOUS SOLUTION

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5
Q

Cerum impaction - tx?

A

do NOT use QTIP - mechanical or solution removal

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6
Q

Contact dermatitis - tx?

A

mineral oil

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7
Q

Pt hears LOW pitch (tinititus)?

A

conductive hearing loss

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8
Q

Ototoxic drugs?

A

gentamyacin (aminoglycosides)
loop diuretics (Ferusomide)
oral steroids

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9
Q

Pt hears HIGH pitch (tinitus)?

A

sensorineural hearing loss

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10
Q

Facial nerve is compressed?

A

acoustic neuroma/vesticular schwannoma

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11
Q

Pt has blunt trauma while playing baseball?

A

traumatic auricular hematoma

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12
Q

Complication of traumatic auricular hematoma if not tx?

A

cauliflower

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13
Q

Progressive unilateral hearing loss?

A

acoustic neuroma/vesticular schwannoma

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14
Q

Surfer has ear pain?

A

exostoses

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15
Q

Parent smokes and child has “plugged ear” - what PE finding?

A

retracted tympanic membrane

NO fever

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16
Q

Post URI? -child

A

eustachian tube dysfxn

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17
Q

Pt is flight attendant + ear pain - PE?

A

red + retracted

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18
Q

Barotrauma - tx?

A

decongestants

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19
Q

Otits externa - bugs?

A

Pseudomonas
S. Epidermidis
S. Aureus

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20
Q

Pt has pain when pulling on ear?

A

otitis externa

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21
Q

Pt has repeated exposure to COLD water?

A

exostoses

osteomas

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22
Q

How to tx Surfer’s ear?

A

one - observe

many - remove if hearing impaired

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23
Q

Pt has red + retracted ear drum?

A

barotitis media

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24
Q

Cx of barotitis media?

A

pressure gradient from flying/diving

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25
Q

Sx of barotitis media?

A

hearing loss

tinnitus

26
Q

Tx for barotitis media?

A

decongestants - pseudophedrine

refer if severe

27
Q

When do you insert a tube in the ear?

A

chronic serous otitis media >3mo
recurrent AOM 3x/6mo OR 4x/12mo
complication of AOM
complication of eustachian tube

28
Q

Pt has “plugged ear” + retracted tympanic membrane + NO fever?

A

eustachian tube dysfxn

29
Q

Risks for eustachian tube dysfxn?

A

URI
allergy
smoke

30
Q

Bugs for otitis externa?

A

PSEUDOMONAS
S. aureus
S. epidermis

31
Q

Excessive cleaning and scratching of ear?

A

otitis externa

32
Q

Tx otitis externa?

A 
quinolone abx drops
cipro HC (cover for pseudomonas and s. aureus)
33
Q

Bloody otorrhea + lesions + facial paralysis + hearing loss?

A

external ear canal carcinoma

34
Q

BUBBLES + NO infxn?

A

serous otitis media

35
Q

Tx for serous otitis media?

A

self limiting 4-6wks
+/- pseudoephedrine (RUI)
+/- corticosteroids - allergy

36
Q

Bugs for acute otitis media?

A

S. pneumonia
H. influenzea
M. catarrahlis

37
Q

What are the bugs for acute otitis media the same as?

A

meningitis, pneumonia, sinusitis

s. pneumonia
h. influenzae
m. catrrahalis

38
Q

Pt has fever and posterior ear pain?

A

acute mastoiditis

39
Q

Child has conjunctivitis + ear tugging? Bug?

A

acute otitis media

bug: h. influenzae

40
Q

Gold standard dx for AOM?

A

insufflation

41
Q

Tx for AOM?

A

tylenol
WASP 24-48hrs
first line- Amoxicillin HD 90mg/kg/day BID

42
Q

When to use abx in AOM?

A

> 6mo + otorrhea
6mo + severe sx
6mo to 2yo + bilateral sx

43
Q

When to WASP in AOM?

A

> 2yo + NO otorrhea + bilateral

>6mo + NO otorrhea + unilateral

44
Q

Imaging for mastoiditis?

A

ct scans

45
Q

Tx for mastoiditis?

A

admit + IV abx

46
Q

Painless + purulent ear discharge + ruptured?

A

chronic suppurative otitis media

47
Q

Cx for chronic suppurative otitis media?

A

recurrent AOM

48
Q

Tx for chronic suppurative otitis media?

A

cipro

49
Q

Recurrent AOM + NO hearing loss + NO dizziness + NO otorrhea?

A

cholesteatoma (keratin filled sacs)

50
Q

Tx for cholesteatoma?

A

surgically remove

51
Q

“Room is spinning” + NO hearing + NO ear pain?

A

benign paroxysmal positional vertigo

52
Q

When is complaint common for BPPV (time of day)?

A

getting up from bed

53
Q

What skills test for BPPV?

A

Dix-hallpike

54
Q

Tx for BPPV?

A

epley manuever
antihistime
anitcholinergics

55
Q

Cx of BPPV?

A

Ca debris in POSTERIOR semicircular canal

56
Q

Pt has vertigo for min to hrs + hearing loss + ear fullness?

A

menieres syndrome

57
Q

Cx for meniere’s sx?

A

TOO MUCH endolymphatic hydrops

58
Q

Tx for meniere’s sx?

A

REDUCE hydrops –> reduce Na, use diuretics

59
Q

Prognosis for meniere’s sx?

A

peak @2yrs and vertigo free after 5-8yrs

60
Q

Pt has TEMPORARY vertigo + N/V + post ivral?

A

vestibular neuronitis/labryinthitis

61
Q

Tests for vestibular neuronitis?

A

horizontal nystagmus

62
Q

Tx for vestibular neuronitis?

A

supportive

+/- abx for infxn

WHOLE PT (19 decks)

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