Ear Conditions

Question 1

Acute otitis media

Answer 1

Ringing in ears. Head rolling. Crying. Ear tugging. Red, bulging tympanic membrane.

Complications: perforation, mastoid/brain involvement

Myringotomy-tympanic membrane incision to relieve pressure.

Position on side of involved war to promote drainage

Question 2

Meniere’s syndrome

Answer 2

Incapacitation vertigo. Tinnitus. Feeling of fullness and pressure. Headache. Nystagmus. Decrease in heating.

Antihistamines. Anitemetics. Diuretics. Bedrest.
Low sodium diet. Avoid caffeine, alcohol, nicotine

Question 3

GBS

Answer 3

Motor losses symmetrical. Deep tendon reflexes disappear. Respiratory mucous compromise. Hypotension. Paralytic ileus. Sweating. Tachycardia.

Demyelination occurs.
Steroids. Mechanical ventilation.
Elevate HOB.

Complications: UTIs, aspiration, urinary retention.

Question 4

Meningitis

Answer 4

Michael rigidity (stiff neck). Kernig’s sign(when hip flexed 90 degrees, complete extension of knee is restricted and painful). Changes in LOC. Seizures.

Droplet Precautions

Question 5

Huntington’s disease

Answer 5

Depression. Temper outbursts. Facial grimacing. Tongue movements. Arm movements. Irritability. Dementia. Paranoia. Psychosis.

Haloperidol