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FINALS - ENT > ears - specific deafness > Flashcards

ears - specific deafness Flashcards

1
Q

first step mx in Sudden-onset sensorineural hearing loss

A

urgent referral ENT

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2
Q

what usually causes Sudden-onset sensorineural hearing loss

A

idiopathic - can be vestibular schwannoma

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3
Q

invx Sudden-onset sensorineural hearing loss

A

MRI

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4
Q

mx Sudden-onset sensorineural hearing loss

A

(in ENT) - oral steroids

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5
Q

where do vestibular schwannomas arise from

A

cerebollpontine angle - CNVIII nerve sheath

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6
Q

symptoms vestibular schwannomas

A

(CNVIII) vertigo, unilateral sensorineural hearing loss, unilateral tinnitus

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7
Q

what other cranial nerves can be affected in vestibular schwannomas and what symptoms

A

V = no corneal reflex // VII = facial palsy

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8
Q

who commonly gets bilateral vestibular schwannomas

A

NFT 2

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9
Q

invx vestibular schwannomas

A

MRI cerebellopontine angle (+ audiometry)

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10
Q

symptoms impacted ear wax

A

pain, tinnitus, vertigo, CONDUCTIVE hearing loss

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11
Q

mx ear wax

A

drops - olive oil, sodium bicarb, almond oil // or irrigation

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12
Q

contraindication to treatment ear wax

A

perforation or grommets

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13
Q

what can cause Perforated tympanic membrane

A

infection (otitis media) // trauma

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14
Q

symptoms Perforated tympanic membrane

A

hearing loss

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15
Q

mx Perforated tympanic membrane

A

conservative // antibiotics if with acute otitis media // myingoplasty if not healing

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16
Q

how long does it take Perforated tympanic membrane to heal

A

6-8 weeks

17
Q

what is a Cholesteatoma

A

non-cancerous overgrowth of squamous epithelium

18
Q

who gets Cholesteatoma

A

10-20 year olds

19
Q

RF Cholesteatoma

A

cleft palate

20
Q

symptoms Cholesteatoma

A

bad smelling continous discharge // hearing loss // vertigo, facial palsy, cerebellopontine angle syndome

21
Q

invx Cholesteatoma

A

otoscopy

22
Q

mx Cholesteatoma

A

refer ENT (maybe surgery if local invasion)

23
Q

what is otosclerosis

A

replacement of normal bone by vascular, spongey bone

24
Q

inheritence otosclerosis

A

dominant

25
Q

what causes deafness in otosclerosis

A

fixation of stapes to oval window

26
Q

symptoms otosclerosis

A

20-40 // conductive deafness // tinnitus // positive FH

27
Q

mx otosclerosis

A

hearing aids // stapedectomy

28
Q

what is auricular haematoma known as

A

cauliflower ear

29
Q

what is glue ear

A

otitis media with effusion // inflammation of middle ear // usually dysfunctional eusatachian tube

30
Q

RF glue ear

A

male // siblings with glue ear // bottle fed // day care // parents smoke

31
Q

features glue ear

A

2 years old // conductive hearing loss!! // speech and language delay, problems at school // (usually no pain)

32
Q

mx glue ear

A

grommet

FINALS - ENT (9 decks)

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