ENT

Question 1

Postoperative of septal perforation

Answer 1

whistling noise heard during respiration.

Result of septal hematoma or a septal abscess

Question 2

Causes of septal peroration

Answer 2

Trauma/ Surgery 
Self- inflicted trauma (nose picking)
Syphilis
TB
Cocaine 
Sarcoidosis
Granulomatosis w/ polyangiitis

Question 3

Diagnosis: Child, nasal bleeding and foul odor discharge, nasal obstruction

Answer 3

Foreign body obstruction

Question 4

Diagnosis: Post-op rhinoplasty, Hypotension, fever, flu like symptoms

Answer 4

Retained nasal packing from surgery

Question 5

Presentation of Allergic rhinitis

Answer 5

Rhinorrhea
nasal pruritus
cough
Ocasional dyspnea

Nasal Mucosa: edematous, pale, polyps

Question 6

Presentation of Nasal furunculosis

Answer 6

Staph folliculitis
Nasal picking/ plucking
Pain
Tenderness
Erythema

Question 7

S&S Herpes Zoster Oticus

Answer 7

Classic triad:
Ear pain
Facial weakness (Facial nerve)
Vesicular rash in the external auditory canal

Also:
Auditory disturbance (vestibulocohlear/ CNVIII)
Vestibular disturbance (CNVIII)

Question 8

Treatment herpes zoster oticus

Answer 8

Corticosteroids
Antivirals

All pts with facial nerve paralysis: protection of eye (artificial tears, lubricating ointment)

Question 9

Mechanism of herpes zoster oticus

Answer 9

Reactivation of latent VZV in the geniculate ganglion disrupting facial nerve.