EENT Flashcards
Signs of Peritonsillar Abscess?
Trismis(hard to open jaw), hot potato voice, buldging soft palate, looks asymmetric.
Epiglotitis s/s?
Sign on lateral soft tissue neck X-RAY?
Kid drooling, tripoding, sudden onset, fever dysphagia.
Thumb print sign.
What is the Peripheral Cause of Vertigo?
What are some s/s?
Neuro exam findings?
What is a maneuver to test for it?
Meniere’s, Labrynthritis: Benign.
Sudden onset, N/V; Nystagmus is horizontal and Fatiguable with fixation.
Normal neuro exam.
Dix-Hall Pike test.
Vertigo Central Cause:
What are the causes?
S/S?
Neuro findings?
Brain stem disease due to stroke, tumor.
Slower onset, milder sxs in the elderly. Nystagmus is more vertical and not fatiguable.
Diplopia, weakness in arms.
Meniere’s:
S/S?
Tx?
Progressive hearing loss, tinnitus and vertigo usually in the older patient. Unknown cause.
Tx with diuretics, Na restriction;
surgery if severe.
What is the cause of Anterior Epistaxis(MC Nose bleed)?
What arteries are affected?
Tx?
Due to dry mucosa, punched or nose pick.
Kiesselbach’s plexus.
Treat with pressure first and then cauterize with anesthesia.
What type of patient with what condition has Posterior Epistaxis?
Signs?
What arteries are affected?
Tx?
Seen in the elderly and often assoced with HTN.
Blood going down back of throat.
Woodrift’s Plexus.
Posterior Pack and inpatient for cardiac/airway monitor
What is mastoiditis?
Imaging study of choice?
Affects mastoid bone behind the ear and can be complication of AOM. This is potentially life threatening.
CT.
What causes conductive hearing loss?
What is seen on the Weber test?
Rinne test?
Impaired sound transmission to inner ear by blockage: OME, wax.
Weber: lateralize to affected ear
Rinne: greater bone conduction than air conduction affected ear.
What causes sensorineural hearing loss?
Weber test?
Rinne test?
presbycusis: Damage to inner ear or neural pathway MC caused by older age.
Weber: lateralizes to unaffected ear.
Rinne: greater air conduction than bone conduction on affected side.
What is a hordeolum?
Stye: external is on top of lid, internal is inside of lid.
What is a chalazion?
Tx?
Chronic stye. Doesn’t hurt, but has been there for awhile.
Warm compress and refer to Opth to excise.
What disease has a gradual central vision loss in the elderly?
What is seen on the fundoscopic exam?
Macular Degeneration.
Haphazardly distributed hard drusen(undigested cellular debris)
What is this condition: inflammation and possible infx of nasolacrimal structures usually secondary to obstruction.
Dacryocystitis.
What is usually caused by a virus with symptoms of sudden violent onset of vertigo, N/V, sudden hearing loss?
Labrynthritis.
