ENT Flashcards
Classic features of vestibular neuronitis
Vertigo attacks hrs/days
Nausea & vomiting
Horizontal nystagmus
NO hearing loss
No tinnitus
Medication used for acute vestibular neuronitis - severe
Buccal/IM prochlorperazine
Medication used for acute vestibular neuronitis - moderate
Oral prochlorperazine
or antihistamine
Management of allergic rhinitis - mild-moderate
Allergen avoidance + oral/intranasal antihistamine
Management of allergic rhinitis - moderate-severe/2nd line
Intranasal corticosteroid
Management of allergic rhinitis - acute control eg for life events
Short course oral corticosteroid
Management of Ramsay Hunt syndrome (herpes zoster oticus)
Facial nerve palsy
Auricular pain
Vesicular rash around the ear
Oral aciclovir + corticosteroids
First-line management of recurrent mild epistaxis
Topical chlorhexidine/neomycin cream (Naseptin)
First-line management of recurrent mild epistaxis (allergic to peanut/soy/neomycin)
Mupirocin cream
Otosclerosis features
Conductive deafness
Tinnitus
Family history
Flamingo tinge 10%
Otosclerosis inheritance
Autosomal dominant
Otosclerosis usual age of onset
20-40y
Meniere’s features
Recurrent episodes mins-hrs
Vertigo + sensorineural hearing loss
+ tinnitus
Aural fullness
Noise damage hearing loss
Bilateral
Worset 3000-6000Hz
Contraindication to Naseptin
Allergy to peanut, soy or neomycin