Ear Disease Flashcards

1
Q

Describe how to perform a full Rinne test

A

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

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2
Q

Describe how to perform a Weber test

A

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

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3
Q

How is the left ear marked on a PTA

A

Blue Cross

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4
Q

How is the right ear marked on a PTA

A

Red Circle

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5
Q

What does an increased peak in a tympanogram suggest

A

Ossicles are broken

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6
Q

Describe the tympanogram in glue ear

A

It is a lower pressure and admittance. The curve is more to the left compared to normal

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7
Q

What is a diagnostic tool for ear problems

A

Otoendoscopy - endoscope in mid meatus

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8
Q

What are some of the symptoms that can be a cause of an ear problem

A
Deafness
discomfort
discharge
dizziness
din din
defective movement of face
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9
Q

If there is a conductive problem , what part of the ear is the problematic part

A

Ear canal,
tympanic membrane or
middle ear

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10
Q

If there is a sensorineural problem, what part of the ear is the problematic part

A

Inner ear or nerve

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11
Q

Ear ache is a common presentation of what condition

A

Laryngopharyngeal carcinoma

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12
Q

What is the medical term for discharge in the ear

A

Otorrhoea

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13
Q

What is the medical term for dizziness

A

Vertigo

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14
Q

What is Din Din

A

tinnitus

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15
Q

How can we treat tinnitus

A

Adaption therapy to mask the noise. CBT may work

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16
Q

If there is a lower motor neurone issue, what happens to the face

A

Only one side is affected

17
Q

If there is an upper motor neurone issue, what happens to the face

A

Both sides are affected

18
Q

What is a typical presenting complaint of someone with otitis external

A

Itch!

19
Q

Who is most likely to develop otitis external

A

Swimmers

20
Q

What is the most common cause of otitis external

A

Aspergillus niger

21
Q

What is another name for glue ear

A

Otitis media with effusion

22
Q

What is glue ear

A

Fluid behind ear drum in absence of infection

23
Q

What is the treatment for glue ear

A

Watchful waiting for 3 months. If bilateral then grommets

24
Q

How do grommets work

A

They allow ventilation

25
Q

What does cholesteatoma result in

A

Production of keratin in the middle ear resulting in a tympanic membrane perforation

26
Q

Describe a congenital cholesteatoma

A

Behind an intact ear drum

Mostly seen in children

27
Q

What are the good and bad points of a CT scanner

A

Densities of cholesteatoma

Inflammatory tissue and fluid are very similar

28
Q

What is a problem with using an MRI scanner

A

Poor localisation of bony landmarks