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ENT > Ear > Flashcards

Ear Flashcards

1
Q

Otorrhoea

A

Discharge from ear

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2
Q

Risk Factors for Otitis Externa

A

Eczema/Psoriasis
Water entering ear
Cotton buds use

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3
Q

Common Otitis Externa bacteria

A

Pseudomonas Aeringosa
Aspergillus Niger
Staphylococcus Aureus

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4
Q

Treatment for Otitis Externa

A

Sofradex (framycetin, dexamethasone, gramicidin)
Gentisone H/C (gentamicin and hydrocortisone)

Mild: Otomise (dexmethasone, neomycin, acetic acid)

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5
Q

Treatment of atypical Otitis Externa

A

Ciprofloxacin

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6
Q

Complications of Otitis Externa

A

Perichondritis

Osteomyelitis of temporal bone (be wary in diabetics/immunosuppressed)

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7
Q

Treatment of Perichondritis

A

Suction to remove debris
Admit of IV antibiotics
Continue topical drops with insertion of aural wick

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8
Q

Complications of Otitis Media

A

Vertigo
Subdural abscess
Temporal lobe abscess
Sigmoid sinus thrombosis

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9
Q

Most common organisms involved in chronic otitis media

A

Pseudomonas aeringosa
Streptococcus
Staphylococcus aureus
Anaerobic - peptostreptococcus

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10
Q

Two types of chronic otitis media

A

Squamous

Mucosal

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11
Q

Active squamous

A

Leads to cholesteatoma

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12
Q

Inactive squamous

A

Shallow self cleaning retracted membrane

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13
Q

Active mucosal

A

Perforation of tympanic membrane with infection

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14
Q

Inactive mucosal

A

Dry perforation

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15
Q

Treatment of chronic otitis media

A

Microsuction and inspection under microscope
Topical antibiotic and steroid drop 7-10 days
- sofradex, gentisone, ciprofloxacin
Myringioolasty

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16
Q

Extra temporal complications of COM

A 
Meningitis 
Subdural abscess
Temporal lobe thrombosis
Sigmoid sinus thrombosis
All due to erosion of regimen
17
Q

What is a cholesteatoma

A

Keratin cyst, usually due to Eustachian tube dysfunction - negative middle ear pressure

18
Q

Treatment for cholesteamtoma

A

Close inspection, clean under microscope
Pure tone audio gram
Topical antibiotics and steroid
Mastoidectomy

ENT (4 decks)

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