ENT

Question 1

o Describe findings, explain diagnosis & management for: otitis media

Answer 1

What is it?
An infection of the inner ear. Usually lasts 3-7 days

Findings:

• Bulging eardrum - red
• cloudy tympanic membrane

Management:

1. Regular analgesia
2. Fluids - stay hydrated

Safetynet:

If symptoms are getting worse by day 3 or not improved after a week seek medical advice

Equally if fever, unwell, vomiting etc go A+E for immediate help

Question 2

o Describe findings, explain diagnosis & management for: tympanic membrane perforation

Question 3

o Describe findings, explain diagnosis & management for: tonsillitis

Question 4

o Describe findings, explain diagnosis & management for: quinsy

Question 5

o Describe findings, explain diagnosis & management for: nasal polyps

Question 6

o Describe findings, explain diagnosis & management for: goitre

NOT FINISHED

Answer 6

What is a goitre?
Swelling of the thyroid gland that causes a lump to appear at the front of the neck

Diagnosis +Findings:

• -> 5 different types of goitre
  https: //cks.nice.org.uk/topics/hyperthyroidism/diagnosis/diagnosis/

1. Graves disease
   - Usually symmetrically enlarged
   - NO nodules
   - There may be a bruit
2. Toxic multinodular goitre
   - Non-tender thyroid nodules
3. Toxic adenoma
   - Unilateral, non-tender thyroid mass
4. Subacute thyroiditis
   - Tender, firm, irregular, diffusely enlarged thyroid gland
   - May be asymmetrical.
5. Amiodarone-induced thyroiditis
   - small goitre is commonly seen

Management: