Ear

Question 1

S and S

Answer 1

Uni or bilat
Pain 
Discharge
Mastoid tenderness
Dizziness
Tinnitus
Family hx

Question 2

Webers and rinnes

Answer 2

-webers forehead-
Localise to affected ear means conductive loss
Localise to non affected means sensorineural
-rinne mastoid process-
AC greater than BC means normal or sensorineural
BC greater means conductive

Question 3

Hear loss causes

Answer 3

Wax most common
FB
Noise damage often industrial
Presbycusis loss high pitch first- age rel, sensorineural, bilat
Benign neuroma- tx by shrink then remov
Menieres- triad hear loss, recurr vertigo, tinnitus. Sensorineural, mid aged, lasts minsto hrs intermitt. Somet nystagmus and pos rhombergs. Tx symps eg vertigo tx, epleys manouvre.

Question 4

Wax tx

Answer 4

Olive oil drops
Na bicarb drops
Otex drops
Syringe
Microsuction

Question 5

Exams and actions

Answer 5

Look, rinnes, webers
Audiogram
If conductive then ref to ENT
If sensorineural symmetrical then hearing aid
If sensorineural asymm then MRI

Question 6

Otoscopy

Answer 6

Inverted bulging and red means infec.

Question 7

Discharge

Answer 7

-ext eg OE-
Scanty watery. Blood if trauma. Liq wax an leak.
-middle-
Mucous. Serosanguinous suggs granular mucosa of COM. Offensive suggs cholesteatoma.
-CSF ottorhoea-
May be post trauma. Halo sign on filter paper, or meas glucose, or b2 transferrin.