Ear- Popcorn Flashcards
Bacterial etiology of OE
Pseudomonas
Pruritis
Purulent d/c
OE
Tenderness with tragal pressure or manipulation of auricle
OE
topical Aminoglycoside or Fluoroquinolone x7-10d
OE
Ear wick
OE
Cauliflower ear
Traumatic auricular hematoma (Hematoma of external ear)
Common in wrestlers
Hematoma of external ear
- Strep pneumo
- Haemophilus influenza
- Moraxella catarrhalis
Common causes of AOM
Most common in kids 4-24 months
AOM
TM immobile with erythema and bulging
AOM
High dose Amoxicillin (80-90mg PO BID)
AOM tx
6 mo- 2y/o w/ unilateral AOM and mild sxs
>2y/o uni/bi AOM with mild sxs
When you can observe AOM
Prolonged eustachian tube blockage
pathophys of serous OM
Clear–> yellow bubbles on exam
Serous OM
TM pocket
TM perforation exuding debris
Cholesteatoma
Pain with pressure change/ popping or cracking sensation
ETD
Retracted TM
ETD
Airplane descent
Otic barotrauma
<25 % of TM
When TM perf doesnt need to be fixed
>25% TM
TM perf that requires repair
Presbycusis
most common etiology of sensorineural hearing loss
BC>AC
conductive loss
AC> BC
sensorineural
Aminoglycosides
ototoxic
DO NOT USE IF TM PERF
“spinning, tumbling”
Vertigo
Gradual, progressive, vertical nystagmus
Central vertigo
Sudden onset, acutely severe, horizontal nystagmus
Peripheral vertigo
Dix-Hallpike maneuver
Dx for vertigo
Vertigo provoked by changes in head position
BPPV
Epley maneuver
Tx for BPPV
Acute onset of continuous, severe vertigo
Labyrinthitis
Episodic Vertigo + Hearing loss + tinnitus
Meniere Disease
One of most common intracranial tumors
Vestibular schwannoma
Unilateral hearing loss w/o explanation
Vestibular schwannoma
