Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Urgent Care Guide > ENT 1 > Flashcards

ENT 1 Flashcards

1
Q

foreign body (ear) - hx and clinical presentation
3

A
  1. pain
  2. fullness
  3. impaired hearing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

foreign body (ear) - in children, the first sx may be

A

otitis externa w/ otorrhea (drainage)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

foreign body (nasal) - hx and clinical presentation
2

A
  1. unilateral bloody or purulent, foul smelling discharge
    and/or
  2. unresolving sinusitis despite appropriate abx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

foreign body - physical exam
2

A
  1. ENT
  2. exam both ears and nares for additional foreign bodies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

foreign body - img/testing

A

none reqd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

foreign body (ear) - DD
4

A
  1. congenital cholesteatoma (rare benign growth in inner ear)
  2. infections
  3. granulation tissue
  4. tumor/mass
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

foreign body (nasal) - DD
4

A
  1. polyps
  2. tumor/mass
  3. septal hematoma
  4. epistaxis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

foreign body (ear) - tx
3

A
  1. removal methods - ear curettes, forceps, suction, irrigation
  2. kill live insects by administering 1-2% lidocaine solution before removal
  3. abx if concerned for OE or tympanic membrane rupture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

foreign body (nasal) - tx
2

A
  1. removal methods - suction, forceps
  2. phenylephrine may reduce mucosal edema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

foreign body (esophageal) - history and presentation
4

A
  1. drooling
  2. dysphagia
  3. chocking
  4. vomiting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

foreign body (tracheal/bronchial) - hx and presentation
4

A
  1. coughing
  2. choking
  3. stridor
  4. throat pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

foreign body (gastric/post pyloric) - hx and presentation

A

may be asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

foreign body (esophageal, trachea, gastric) - physical exam
4

A
  1. evaluate ability to handle secretions
  2. inspect posterior oropharynx
  3. inspect and palpate the abd
  4. listen to breath sounds
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

foreign body (esophageal, trachea, gastric) - img/testing
2

A
  1. x ray for ingested foreign body, free air
  2. check for halo sign - double ring indicated presence of button battery)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

foreign body (button battery) - tx
3

A
  1. call poison control hotline
  2. risk for esophageal erosion and perf
  3. send to ER
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

foreign body - who can be discharged w/ f/u (time)

A

d/c with f/u in 1 week for gastric/post pyloric foreign bodies w/ benign characteristics (blunt, small, benign shape) - most will pass on their own

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

foreign body - when to refer to ER
4

A
  1. all tracheal and esophageal foreign bodies
  2. sharp or large objects
  3. magnets
  4. batteries
18
Q

OM

A

middle ear inflammation

19
Q

OME

A

presence of a middle ear effusion w/o signs or symptoms of infection

20
Q

presence of a middle ear effusion w/o signs or symptoms of infection

A

OME

21
Q

AOM

A

infection of the middle ear primary caused by viruses (RSV, rhinovirus, influenza, adenovirus)

22
Q

chronic suppurative OM (CSOM)

A

presence of purulent otorrhea d/t a chronic TM perf persisting for >6 weeks despite treatment for AOM

23
Q

AOM and OME overlapping sx include

A

URI sx (rhinorrhea, cough) which usually precipitate the conditions

24
Q

OME - presentation
2

A
  1. decreased hearing
  2. minor discomfort
25
Q

AOM - presentation
2

A
  1. otalgia (ear ache)
  2. fever
26
Q

AOM - presentation in young children
3

A
  1. irritable
  2. poor feeding
  3. rubbing or holding the ear
27
Q

OME - physical exam
3

A
  1. middle ear effusion
  2. opaque or cloudy TM
  3. visible air fluid level in middle ear
28
Q

AOM - physical exam
5

A
  1. middle ear effusion + signs of inflammation
  2. red or dark yellow TM
  3. bulging TM
  4. loss of TM landmarks
  5. decreased TM mobility
29
Q

severe AOM - physical exam
2

A
  1. tympanic membrane may rupture
  2. purulent/sanguineous otorrhea that may obscure visualizing the TM
30
Q

OM - img/test

A

none usually

31
Q

OM - DD
3

A
  1. OE
  2. herpes zoster
  3. teething
32
Q

OM - tx that is non abx
2

A

antipyretics
oral analgesics

33
Q

OME - tx

A

usually resolves w/o tx in few months

34
Q

AOM - most cases are ____ limited

A

self

35
Q

when to consider abx therapy for mild AOM

A

48-72 hrs after obs if temp <39 and age >6 months; then begin abx if worsening or no improvement

36
Q

mod-severe AOM examples
7

A
  1. mod to severe otalgia
  2. otalgia for at least 48 hours
  3. temp >39
  4. immunocomp
  5. craniofacial abnormalities
  6. bilateral AOM
  7. lack of clinical improvement in 48-72 hrs
37
Q

AOM abx tx - length of tx child
2

A
  1. ten days for children < 2 and children of any age w/ TM perf or hx of recurrent AOM
  2. 5-7 days for children 2 or older w/ intact TM and no history of recurrent AOM
38
Q

AOM tx duration for adults - mild to mod and severe
2

A
  1. mild to mod 5-7 days
  2. severe (hearing loss, severe pain, TM erythema) 10 days
39
Q

AOM mod-severe abx rx

A

no abx in prior month - amoxicillin 875 (P 45 mg/kg) PO BID
abx in prior month - Augmentin (amoxicillin/clavulanic [clav-U-lenic] 875 PO BID for 10 days

40
Q

AOM abx rx choice for severe PNC allergy

A

clindamycin 30 mg/kg per day PO divided into three doses
OR
azithromycin 10 mg/kg per day PO as a single dose on day 1 and 5 mg/kg per day for days 2-5

41
Q

AOM - recommend starting abx in all infants of what age

A

< 6 months

Urgent Care Guide (38 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions