EENT #5 Flashcards
MC etiology of Laryngitis
Viral upper respiratory tract infection (Adenovirus, Rhinovirus, RSV)
-Vocal strain, irritants (GERD), Polyps, Laryngeal cancer
Symptoms of Laryngitis
- Hoarseness, aphonia
- Dry, scratchy throat
- Viral URI symptoms
Treatment for Laryngitis
Supportive care is the mainstay treatment
With a peritonsillar abscess, describe the symptoms
- Muffled “hot potato” voice
- Difficulty handling oral secretions (drooling)
- Trismus (lockjaw)
- Swollen or fluctuant tonsil
- uvula deviation to contralateral side
Diagnostic of choice for Peritonsillar Abscess
-CT scan
On the contrary, in a retropharyngeal abscess, describe the uvula
It is usually midline or unilateral posterior pharyngeal wall edema
Other symptoms of retropharyngeal abscess
- Torticollis
- Neck stiffness especially with neck extension
- Fever, drooling, dyphagia, trismus
Diagnostics for retropharyngeal abscess
- Lateral neck radiograph: increased prevertebral space >50%
- CT scan of neck with contrast is preferred
Describe oral lichen planus
Lacy reticular leukoplakia of oral mucosa MC (Wickham Striae) Usually painless
What is Ludwig’s Angina
-Rapidly spreading cellulitis of the floor of the mouth (bilateral infection of submandibular space)
Risk factors for Ludwig’s Angina
- Spread of oral flora secondary to dental infections
- Diabetes, HIV
Symptoms of Ludwig’s Angina
- Tender, symmetric swelling, “woody” induration
- Erythema of upper neck and chin
- Pus on floor of the mouth
- Swelling of tongue can lead to airway compromise
Diagnostics for Ludwig’s Angina
-CT scan initial test of choice
Treatment for Ludwig’s Angina
-IV ABX (Ampicillin-Sulbactam)
or Ceftriaxone + Metro
or Clindamycin + Levofloxacin
Describe the EOM’s and the movements they perform
Draw out picture
