EENT Flashcards
1
Q
Most specific and clinically useful test for diagnosing AOM
A
pneumatic otoscopy
2
Q
Etiology of AOM
A
- H flu
- S pneumo
- M cat
3
Q
Predisposing Conditions/Risk Factors for AOM
A
-daycare
-males
-abnormal/short eustachian tube
-allergy, immunodeficiency
-cigarette smoke
-
4
Q
Etiology of Otitis Externa
A
- bacterial
- fungal
- excess cerumen cleaning
5
Q
Etiology of Sinusitis
A
- H flu
- M cat
- S pneumo
6
Q
Etiology of Mono
A
Epstein Barr virus
7
Q
Symptoms:
- Otalgia/earache
- URI sxs
- Fever
- Hearing loss/decreased
- Pulling on ears
- Irritability
A
AOM
8
Q
Symptoms:
- Fatigue
- Sore throat
- Malaise, HA, low grade fever
- Palatal petechiae
- Lymphadenopathy posterior cervical
A
Mono
9
Q
Symptoms:
- Painless, slowly progressive visual loss
- Asymptomatic
- Scotomas
- Increased IOP
- Increased cup:disk ratio
A
Primary open angle glaucoma
10
Q
Sxs:
- Lipid cyst near eye
- Painless
A
Chalazion
11
Q
Sxs:
- Otalgia
- Hearing loss
- Fever
- Erythematous, edematous
- Ear pain with manipulation of pinna
A
Otitis externa
12
Q
Sxs:
- HA, retroorbital pain, otalgia
- Nasal congestion, chronic cough, pain on sinus palpation
A
Sinusitis
13
Q
Sxs:
- Ocular or facial pain
- Blurred vision, colored halos
- N/V/HA
- Increased IOP
- Conjunctival injection
- Fixed, mid-dilated pupil
A
Acute angle closure glaucoma
14
Q
Sxs:
- Acute onset sore throat, dysphasia
- Fever
- Malaise
- Exudates, erythematous throat
- Tender anterior cervical nodes
A
Bacterial pharyngitis (Strep)
15
Q
Sxs:
- Runny nose, congestion, sinus pain
- Sore, scratchy throat, hoarseness, cough, throat erythema
- HA, malaise, aches, fever
- Inflamed mucose
A
URI
16
Q
Sxs:
- Itchy eyes, nose, throat
- Runny nose, sneezing, congestion
- PND
- Shiners due to increased blood flow
A
Allergic rhinitis
17
Q
Sxs:
- Sore throat, cough
- Enlarged tonsils, pharyngeal erythema, tonsillar exudates
- Anorexia
- Chills, malaise
- HA
A
Viral pharyngitis
18
Q
Sxs:
- Decreased vision
- White pupil
- Insidious blurry vision
A
Cataracts
19
Q
Sxs:
- Acute inflammation or infx of eyelid margin
- Localized inflammation, swelling, tenderness
- Small pustule
- Itching and scaling of eyelids
- Collection of discharge, redness, irritation
A
Hordeolum (sty)
20
Q
Sxs:
- Usually no decrease in vision
- Red eye with conjunctival injection
- FB sensation
- Eyelid sticking or crusting
- Discharge
A
Conjunctivitis
21
Q
Signs of AOM
A
- decreased mobility of TM
- otorrhea if perforated
- bulging, cloudy, erythematous TM
22
Q
Labs for Strep Pharyngitis
A
- rapid strep
- throat culture
- elevated WBCs
23
Q
Risk Factors for Sinusitis
A
- viral URI, allergic rhinitis, asthma
- smoking
- immunodeficiency, CF, obstruction, polyps
24
Q
How is the diagnosis made for chronic sinusitis (lab/imaging)?
A
CT sinus scan is gold standard
25
Labs for Mono
- Mono spot
- WBC with diff
- EBV titer
- rule out strep throat
26
What is the big symptom TRIAD for mono?
- fever
- tonsillar pharyngitis
- lymphadenopathy
27
Sempter's Triad
- nasal polyps
- asthma
- aspirin sensitivity
