Ear disease Flashcards

1
Q

What are the symptoms of ear disease?

A
Hearing loss
Tinnitus
Vertigo
Otalgia
Ear discharge
Facial weakness
Ear surgery
Nasal symptoms
Facial history
Specidic paediatric history
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2
Q

What are the 3 types of hearing loss?

A

Conductive
Sensoineural
Mixed

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3
Q

What are some signs of ear disease?

A
Abnormalities of ear canal
Discharge
Swelling
Bleeding
Masses
External scars
Changes in ear drum
Swelling over mastoid
Facial weakness
Hearing loss
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4
Q

What is otitis externa?

A

Inflammation of the skin of the ear canal

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5
Q

Is otitis externa infective?

A

Mostly

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6
Q

What can cause otitis externa?

A

Bacteria

Fungi

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7
Q

What are common causes of otitis externa?

A

Water
Cotton buds
Skin conditions

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8
Q

Who gets acute otitis media?

A

Children

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9
Q

What is AOM associated with?

A

Glue ear

URTIs

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10
Q

What is included in chronic otitis media?

A

Otitis media with effusion
Cholesteatoma
Perforation

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11
Q

Who gets otitis media with effusion?

A

CHildren

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12
Q

What is OM w/ E associated with?

A

Eustachian tube dysfunction or obstruction

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13
Q

What can cause OM w/ E in adults?

A

Rhinosinusitis
Nasopharyngela carcinoma
Nasopharyngeal lymphoma

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14
Q

What are the signs of OM w/ E?

A

CHL with flat tympanogram

Hearing loss

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15
Q

What is the Tx of OM w/ E?

A

Perforation

Grommit

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16
Q

What may cause perforation?

A

Commonly due to AOM

Trauma

17
Q

Does perforation heal?

A

Usually

18
Q

What is cholesteatoma?

A

Presence of keratin within middle ear

Erodes surrounding bone

19
Q

What are the symptoms of cholesteatoma?

A

Hearing loss
Discharge
Complications

20
Q

What is the treatment of cholesteatoma?

A

Surgical excision

Reconstruction

21
Q

What is more common; acquired or congenital cholesteatoma?

A

Acquired

22
Q

What are the risks of cholesteatoma?

A
SNHL
Tinnitus
Vertigo
Facial palsy
Brain abscess
Meningitis
Venous sinus thrombosis
23
Q

What is otosclerosis?

A

Gradual onset conductive hearing loss caused by fixation of the stapes bone

24
Q

Who gets otosclerosis?

A

F>M

25
Q

What makes otosclerosis progress rapidly?

A

Pregnancy

26
Q

How is otosclerosis treated?

A

Stapedectomy

27
Q

What is presbycusis?

A

Old age hearing loss
High frequency
Highly variable onset

28
Q

What drugs can cause hearing loss?

A
Gentamicin
Aminoglycosides
Chemotherapeutic drugs
Aspirin
NSAIDs
29
Q

What is a vestibular schwannoma?

A

Benign tumour in IAM

30
Q

What does a VS present with?

A

Hearing loss
Tinnitus
Imbalance

31
Q

How is VS diagnosed?

A

MRI scan

32
Q

How is VS diagnosed?

A

MRI scan

33
Q

What does bruising over the mastoid suggest?

A

Base of skull fracture

34
Q

What can a skull fracture lead to?

A
Hearing loss
Conductive
Sendorineural
Facial palsy
CSF leak