Ear, nose throat and neck Flashcards
When can you get pain on an otoscopic exam?
If pressure is applied in the inner portion of the ear canal
What are normal results for AC and BC?
AC>BC
What should you look for if there is malignancy or inflammation is present?
regional lymph node involvement
If a node is enlarged/tender, look for a source
What is the Sampter triad?
Polyps + Asthma + aspirin/NSAID sensitivity
Nausea and vomiting are common w/ migraine, but what else should you be concerned about?
tumor/hemorrhage
What is Meniere’s disease associated with?
hearing loss/vertigo
What are characterists of strep throat?
anterior lymphadenopathy, no cough and sore throat
What can cause enlargement of the skull?
Hydrocephalus, Paget’s disease of bone
If the tug test causes pain, what should you be thinking?
Otitis externa
If there is tenderness behind the ear, what should you be thinking?
Otitis media
What can cause conductive HL?
- otitis externa
- obstruction of the ear canal
- bacterial OM
- serous OM
- otoscleroris
- perforated TM
What can cause sensorineural HL?
- sustained exposure to loud noise
- drugs/chemotherapy
- infections of the inner ear
- trauma
- tumors
- congenital and hereditary disorders
- presbyacusis
What does the Weber test check for?
lateralization of HL
What should you suspect if sound lateralizes to the impaired ear in the Weber test?
conductive hearing loss
When should you be concerned about sensorineural HL on the contralateral side in the Weber test?
If there is lateralization of the sound to the impaired ear with no visible reason for conductive hearing loss