Ear pain/ hearing loss

Question 1

0-2 years old with fever, red bulging tympanic membrane

Answer 1

otits media

Question 2

sudden piercing pain in ear, trouble hearing, 104 fever, tugging or pulling at both ears, fluid drainage, loss of balance, nausea, vomiting, diarrhea, congestion

Answer 2

acute otitis media

Question 3

fluid leaking from ear?

Answer 3

Fx

Question 4

trauma with dizziness/tinnitus?

Answer 4

perforated ear drum, perilymphatic fistula

Question 5

present or past URI

Answer 5

acute otitis (fullness/bloackage), labyrinthitis(dizziness/hearing loss)

Question 6

pain referring to front of ear, popping, clicking

Answer 6

elongated styloid process

Question 7

recent flying or scuba diving ear pain?

Answer 7

barotrauma, eustacian tube dysfunction

Question 8

post swim ear pain?

Answer 8

otitis externa or tympanic membrane rupture(recurrent ear infections)

Question 9

infected hair follicles

Answer 9

faruncles

Question 10

skin lesion with ear pain

Answer 10

polyps

Question 11

sudden hearing loss

Answer 11

trauma, vascular, viral infection

Question 12

resolves in 10 days=

Answer 12

viral

Question 13

recurrent hearing loss

Answer 13

menieres disease, chronic OM, imopacted seru, eustacian tube issue

Question 14

dizziness and recurrent hearing loss

Answer 14

menieres

Question 15

allergies and receurrent hearing loss

Answer 15

auditory tube dysfunction

Question 16

sensory neural loss

Answer 16

otitis interna, presbycusis, acoustic neuroma, loud noise exposure

Question 17

conductive hearing loss

Answer 17

otitis media, membrane rupture, cerumen blockage, otosclerosis

Question 18

chronic hearing loss

Answer 18

presbycusis (difficulty hearing in loud areas)
otosclerosis(difficulty hearing on phone, younger pt-pagets disease)
congenital acoustic neuroma
ototoxicity due to NSAIDs, diuretics or cancer meds)
noise pollution-organ of corti

Question 19

Aminoglyucosides, high dose erythromycin, NSAIDs, furosamide, vancomycin

Answer 19

ototoxic drugs