EENT Flashcards
What type of infxn are steroid inhalers most likely to have?
Fungal infxn
What underlying disorders are patients with nasal polyps most likely to have?
Asthma, ASA/NSAID allergy (ASA triad)
What is the most aggressive and worst type of thyroid CA?
Anaplastic
What are the RF for thyroid CA?
Female, Asian, hx of goiter, hx of radiation
What is the most common thyroid CA?
Papillary
What are the types of thyroid CA?
Papillary, follicular, anaplastic, medullary
What is the most common laryngeal CA?
Squamous cell
What is bacterial infxn on the floor of the mouth that could be potentially life threatening?
Ludwing angina
What is L sided supraclavicular adenopathy?
Virchow’s node
What is painless, unilateral adenopathy?
Hodgkin’s lyphoma
What drugs can cause gingival hyperplasia?
CCB, phenytoin (seizure meds), cyclosporine (DMARDS)
What bug causes mumps?
Paramyxovirus
What bug causes sialadenitis?
S. Aureus
What glands are affected in sialadenitis? Sialolithiasis?
1) parotid 2) submandibular
What bug causes epiglottis?
H. influenzae
What bug causes mono?
EBV
Most common area for posterior epistaxis?
Woodruff
What are the 3 common bugs causing bacterial sinusitis?
M. Catarrhalis, H. influenzae, S. Pneumonia
Is Meniere’s peripheral or central cause of vertigo?
Peripheral
Patient has positive Dix Hallpike?
BPPV
What systemic disease can lead to hearing loss?
Lyme, neurosyphilis
What drug can be used to perforated TM?
Fluroquinolones
What is the common non-suppurative cause of sialadenitis?
Mumps/paromyxovirus
45yo male presents with progressive enalargement of R submandibular gland over last week?
Sialolithiasis
What GI disorder can lead to laryngitis if not treated?
GERD
68yo male drinker presents with 3mo of hoarseness?
Squamous cell carcinoma
How to treat peritonsillar abscess?
IV ampicillin or IV clindamycin
Patient has dark urine after pharyngitis couple weeks ago. UA reveals RBC casts, what lab should you order next?
ASO titers for post-strep glomerulonephritis
6yo male presents with chronic sinusitis, what to expect on PE?
Enlarged adenoids
Bilateral acoustic neuroma occurs only when?
Neurofibromatosis II
How to differentiate labyrinthitis vs vestibular neuritis?
Labyrinthitis has hearing loss, vestibular neuritis does not
What disease should be considered with a patient who has a recent diagnosis of toxoplasmosis?
Vestibular neuritis
What must be r/o’d if patient has vertigo + syncope?
Vertebral basilar insufficiency
What is the most common fungal otitis externa?
Aspergillus
Most common cause for retinal artery occlusion?
carotid plaque from carotid
Central vision loss vs peripheral vision loss dx?
central - macular degeneration, peripheral - glaucoma
“Blood and thunder” on otoscopy exam?
central retinal vein occlusion
What congenital infxn can lead to childhood glaucoma?
TORCH infxn
Dendritic ulcers on cornea with fluorescein stain?
herpes simplex
4 drug classes to treat open angle glaucoma?
alpha agonist, beta blockers, topical carbonic anhydrase, prostaglandins
What nerve could be damaged with a blowout fracture?
infraorbital nerve
What PE will show with infraorbital nerve damage?
paresthesia in the gums, upper lips and cheek
What are 3 concerns for blowout fracture?
loss of EOM, parestheisa, diplopia
What congenital malformation leads to dacroadenitis and resolves w/in the first year?
dacryostenosis
Common cause for optic neuritis?
MS
What must be r/o’d with acute loss of monocular vision/amaurosis fugax?
artery occlusion, optic neuritis, giant arteritis
Patient complains of floaters, bright lights, loss of vision in one field?
retinal detachment
Common cause for orbital cellulitis?
staph, strep
Common cause of viral conjunctivitis?
adenovirus
Pressure to dx glaucoma?
> 21
Unilateral deep painful red eye decreased vision, halos, steamy/cloudy cornea pupil, fixed, dialted?
acute angle glaucoma
Other sx/PE for acute angle glaucoma?
unilateral HA, N/V, photophobia
What is term for inflammation of the lacrimal gland?
dacryoadenitis
Swelling of the medial corner of eye with erythema, tenderness, d/c, and excess tearing?
dacryocystitis
What muscle may become entrapped with blowout fracture?
inferior rectus muscle
Patient has hyphema with no trauma, what must be r/o’d?
blood disorders
Patient has gradual onset of central vision loss?
macular degeneration
HIV patient has retinopathy, what’s the bug?
CMV
Immunocompressed patient with retinopathy, 2bugs?
CMV, toxo
Patient has sudden blurred vision and retinal vein occlusion will have what kind of occlusion?
central
What are the bugs with bacterial conjunctivitis?
s. aurues, s. pneumonia, m. catarrhalis, h. influeanzea
When to start screening for glaucoma?
40yo
Patient has disk ratio of 0.7, what must be done to r/o?
tonometry for acute close angle glaucoma
What disorder is characterized by congenital malformation or failure to open nasolacrimal duct?
dacryostenosis