ENT

Question 1

Malignant otitis externa

Answer 1

Osteomyelitis of the skull from psa in DM
Dx: start with ct or mri, bone biopsy is most accurate
Tx: antipsa abx and debridement

Question 2

What to do if AOM doesn’t improve on amox

Answer 2

Advance clock three days and if not better give amox clav or cephalosporin

Question 3

Simple otitis externa

Answer 3

Often from swimming or foreign object, itching and pain, give topical abx and hydrocortisone for itching

Question 4

Pharyngitis dx triad

Answer 4

Pain/sore throat
Exudate
Adenopathy
No cough

Tx pcn or amox

Question 5

Treat flu within what time window?

Answer 5

48 hours with -ivir

Question 6

Labyrinthitis vs meniere

Answer 6

Both- vertigo, hearing loss, tinnitus
Lab - acute inflamm of inner ear, tx meclizine and steroids
Meniere is chronic, tx salt restriction, meclizine and diuretic