ENT Flashcards
Vestibular neuroticism and features
Inflammation of the vestibular nerve
- Single episode
- Severe dizziness
- N+V
Non-functioning lump Ix
(After TFTs)
USS of neck
Epistaxis mx
If minor bleeding from accessible site: cautery + d/c w/ topical naseptin (if persists -> anterior packing + d/c w/ ENT r/v next day [if persists ->admit +post packing)
Profuse bleeding from sites difficult to localise: admit + post pack ±abx
Which sinus is most associated with chronic sinusitis?
Maxillary sinus
Acoustic neuroma and features
Benign brain tumour (aka vestibular schwannoma)
Slow onset
- 1-sided Sensorineural hearing loss
- Vertigo
- Tinnitus
- TM fine
±neurofibromatosis
Meniere’s disease
Condition of inner ear that causes sudden attacks
- Feeling of fullness in one ear
- Episodes vertigo
- Episodes end with hearing loss and tinitus
Osteosclerosis and features
Abnormal bone growth in the middle ear
- Conductive hearing loss
- Worse during preg
Tympanosclerosis
Scarring of ear drum leading to calcification / chalky deposits
Which infx is most commonly associated with tonsillar SCC?
HPV
Sinusitis mx
doxycycline
Where do most epistaxes occur?
Anteriorly in Little’s area
Features of posterior bleed
- profuse bleeding
- bleeding bilat
- no bleeding points can be found
Evolving sunburn-like erythema and confusion >48h nasal packing
Toxic shock syndrome
How often should nasal packing be changed to reduce risk TSS?
48h
vertigo + tinnitus + aural fullnes w/ persistent, foul smell
cholesteatoma (abnormal collection of skin cells deep inside your ear)
