ENT Flashcards
How does vestibular neuronitits affect hearing?
Normal hearing
Rinnes: Air > Bone
Webers: Midline lateralisation
Investigation of sudden onset sensorineural hearing loss?
MRI
Urgent ENT referral
Management of sudden onset sensorineural hearing loss?
High dose oral steroids
Meniere’s triad?
Hearing loss (sensorineural)
Tinnitus
Vertigo (acute)
Bell’s palsy management?
Oral pred within 72 hours of onset
Artificial tears
Management of non-resolving otitis externa with increasing pain ?
Urgent ENT referral
?necrotising otitis externa
Weber’s test in conductive hearing loss?
Lateralises to the affected ear
Weber’s test in sensorineural loss?
Lateralises to the unaffected ear
Vertical nystagmus and vertigo?
Suggests a central cause of vertigo
CT head to exclude cerebellar stroke
What is Ludwig’s angina?
Cellulitis at the floor of the mouth (immunocompromised patients with poor dentition can develop airway compromise as a result)
Management of any post tonsillectomy haemorrhage?
Review by ENT
What sensitivity are nasal polyps associated with?
Aspirin
Management of Meniere’s disease?
Acute: Buccal or IM prochlorperazine
Prophylaxis: Betahistine and vestibular reran exercises
Most common complication of measles?
Otitis media
In what condition is hyperacusis see in 1/3 of patients?
Bell’s palsy
In tonsilitis, what may a deviated uvula suggest?
Quinsy (peritonsilar abscess)
After how many weeks of a persistent ulcer should an urgent referral be made ?
3 weeks (?SCC)
Management of perforated tympanic membrane due to barotrauma?
Self-limiting, offer reassurance
Hutchinson’s sign?
Top of nose involvement = strong predictor of ocular involvement
Management of necrotising gingival ulceration?
Referral to dentist
Oral metronidazole for 3 days
Chlorohexadine mouth wash
Simple analgesia
CMV blood film?
Owls eye appearance due to intranuclear inclusion bodies
Who gets CMV retinitis?
HIV patients with CD4 count < 50
‘Pizza retina’
IV ganciclovir is tx of choice
Organisms causing acute otitis media?
Strep pneumonia
Haemophilius influenza
Definition of chronic supportive otitis media?
Perforation of tympanic membrane with of otorrhoed for more than 6 weeks
Organisms causing otitis externa ?
Steph aureus
Pseudomonas aerginosa
Management of otitis external in patient with dm?
Ciprofloxacin - cover pseudomonas
