Ear Disease Flashcards
Describe how to perform a full Rinne test
Hit the tuning fork and hold the base on the mastoid bone. Then ask the patient when they can no longer hear the sound. After, bring the tuning fork in front of their ear.
A negative test is when they can still hear it in front of their ear. This is normal
Describe how to perform a Weber test
Hit the tuning fork and hold the base in the midline of the forehead. The sound should be equal on either side. If the patient hears it louder on one side, this side is the affected side
How is the left ear marked on a PTA
Blue Cross
How is the right ear marked on a PTA
Red Circle
What does an increased peak in a tympanogram suggest
Ossicles are broken
Describe the tympanogram in glue ear
It is a lower pressure and admittance. The curve is more to the left compared to normal
What is a diagnostic tool for ear problems
Otoendoscopy - endoscope in mid meatus
What are some of the symptoms that can be a cause of an ear problem
Deafness discomfort discharge dizziness din din defective movement of face
If there is a conductive problem , what part of the ear is the problematic part
Ear canal,
tympanic membrane or
middle ear
If there is a sensorineural problem, what part of the ear is the problematic part
Inner ear or nerve
Ear ache is a common presentation of what condition
Laryngopharyngeal carcinoma
What is the medical term for discharge in the ear
Otorrhoea
What is the medical term for dizziness
Vertigo
What is Din Din
tinnitus
How can we treat tinnitus
Adaption therapy to mask the noise. CBT may work
If there is a lower motor neurone issue, what happens to the face
Only one side is affected
If there is an upper motor neurone issue, what happens to the face
Both sides are affected
What is a typical presenting complaint of someone with otitis external
Itch!
Who is most likely to develop otitis external
Swimmers
What is the most common cause of otitis external
Aspergillus niger
What is another name for glue ear
Otitis media with effusion
What is glue ear
Fluid behind ear drum in absence of infection
What is the treatment for glue ear
Watchful waiting for 3 months. If bilateral then grommets
How do grommets work
They allow ventilation
What does cholesteatoma result in
Production of keratin in the middle ear resulting in a tympanic membrane perforation
Describe a congenital cholesteatoma
Behind an intact ear drum
Mostly seen in children
What are the good and bad points of a CT scanner
Densities of cholesteatoma
Inflammatory tissue and fluid are very similar
What is a problem with using an MRI scanner
Poor localisation of bony landmarks
