Ears Flashcards

1
Q

Congenital Malformations

A

Malformed pinna
Skin tags / accessory pinna parts
Pre-auricular pit / sinus - hole/dimple/pit - may become infected - discharge
Microtia = no pinna +/- atresia of external ear canal

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2
Q

Painful ear

A
Causes of discharging ear! + external causes: 
Otitis externa 
Malignant necrotizing otitis externa
Furunculosis 
Bullous myringitis
Chondrodermatitis nodularis chronic helica 
Barotrauma 
Temporomandicular joint dysfunction
Referred pain from neck - C3, C4, C5
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3
Q

Causes of otitis externa

A
Eczema
Psoriasis
Trauma
Pseudomonas infection
Fungal infection
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4
Q

Order

A

Swab + culture

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5
Q

Cauliflower ear

A

Pinna hematoma - history of blunt trauma

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6
Q

External ear - Bone abnormality

A

Exostosis - localized bone hypertrophy

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7
Q

External ear - Other

A

Ear wax / cerumen. May be excessive, impaction - can cause conductive hearing loss.
Foreign body in ear

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8
Q

Purulent discharge

A

Acute otitis media
Chronic suppurative otitis media
Choleasteatoma

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9
Q

Causes of acute otitis media

A

Pneumococcos
Haemophilus
Streptococcous
Staphylococcus

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10
Q

Complications of infectious otitis media

A
Cholesteatoma
Mastoiditis
Petrositis - infection of petrous part of temporal bone
Facial palsy 
Labyrinthitis
Meningitis
Intracranial abscess
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11
Q

Serous discharge / blockage

A

Otitis media with effusion (OME)
No infection of the ear. Serous effusion as a result of upper RTI infection.
More common in young children.

Chronic otitis externa

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12
Q

Discharge caused by trauma

A

Bloody discharge

CSF otorrhea

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