EENT #4 Flashcards
Cause of Strep Pharyngitis
Group A Strep
Symptoms of Strep Pharyngitis
- Tonsillar exudate and/or petechiae
- Anterior cervical LAD
- Dysphagia
- Fever
Diagnostic for strep pharyngitis
- Best initial (Rapid antigen detection test)
- Definitive (throat culture)
Treatment for Strep Pharyngitis
- Penicillin (1st line)
- Macrolides (allergy)
Complications for strep pharyngitis
- Rheumatic Fever
- Acute glomerulonephritis
- Peritonsillar Abscess
Prevention of teeth erosion
Hygiene, flossing, mouthwash, fluoride, decrease sugary foods/drinks, dentist appointments regularly
Torus Palatinus
Harmless, painless, bony growth on the roof of the mouth (hard palate)
Treatment for torus palatinus
-Refer to maxofacial surgeon for surgery if problematic
Symptoms of TM perforation
- History of penetrating noise trauma, otitis media
- Acute ear pain, hearing loss, bloody otorrhea, tinnitus, vertigo
Symptoms of uveitis
-Unilateral severe ocular pain and photophobia
-Eye redness
-Blurry vision
-Miosis (constriction)
Ciliary injection (limbal flush)
MCC of viral conjunctivitis
Adenovirus
MC site of outbreak for viral conjunctivitis
Swimming pools
Symptoms of viral conjunctivitis
- Copious, watery tearing
- Preauricular LAD
- Punctate staining
- Gritty sensation, itching, ocular erythema
MCC of Hordeolum (Stye)
Staph Aureus
Symptoms of a stye
-Erythematous, painful, warm, nodule or pustule on eyelid
Treatment for stye
Warm compresses, I/D may be needed if no resolution
Chalazion
Painless, indurated granuloma of internal Meibomian sebaceous gland
Pinguecula
-Yellow slightly elevated nodule on nasal side of sclera that does not grow onto cornea.
Treatment for barotrauma
-Autoinsufflation (swallowing, yawning, chewing gum)
Symptoms of Meniere’s Disease (5 things)
- Episodic peripheral vertigo
- Tinnitus
- Ear fullness
- Sensorineural Hearing Loss
- Horizontal Nystagmus
Treatment for Meniere’s Disease
- Initial: avoid salt, caffeine, nicotine, chocolate, and alcohol
- Medical: Meclizine, Hydrochlorothiazide
- Refractory: surgical decompression
BPPV is commonly due to
Displaced otolith particles in inner ear
BPPV symptoms
- Sudden episodic vertigo and provoked with certain head movements
- No hearing loss
- No tinnitus
Treatment for BPPV
- Dix-Hallpike Maneuver helps produce nystagmus
- Epley Maneuver to reposition canalith
