ENT Flashcards
Vertigo, Hearing loss, Tinnitus and absent corneal reflex
Accoustic neuroma (Vestibular achwannoma)
Condition associated with bilateral vestibular schwannoma
Neurofibromatosis Type 2
Investigation for suspected vestibular schwannoma?
MRI of the cerebellopontine angle
Urgent referral to ENT
Audiomotory results in presbyocusis?
Bilateral sensorinuerol hearing loss
Drugs causing tinnitus
Aspirin
NSAIDS
Aminoglycosides
Loop diuretics
Quinine
How long does it take for a perforated ear drum to heal?
6 - 8 weeks
Most common bacterial cause of ottitis media?
Haemophilus influenzae
DVLA advice for menniere’s disease
Patients should inform the DVLA
Cease driving until satisfactory control of symptoms in acheived.
Treatment for sudden onset sensorineural hearing loss
High dose oral corticosteroids
Investigation for sudden onset sensorineural hearing loss
MRI scan to exclude a vestibular schwannoma
Organisms causing ottitis externa
Staph aureua, psuedomonas aeruginosa
Fungal seborrhoeic dermatitis
Treatment of ottitis externa
Topical antibiotics + topical steroids
Managment of mennieres disease
Referral to ENT to confirm the diagnosis
Acute attack - buccal or IM prochloperazine
Prevention - betahistine and vestibular rehabilitation
Managment of a nasal septal haematoma
Surgical drainage
IV antibiotics
Describe rinnes test
Tuning fork places on mastoid process and then in front of ear. Positive (normal) AC louder than bone conduction
Negative (abnormal) BC louder than AC
Describe webbers test
Tuning fork placed in middle of the forehead and then patient asked which side is loudest
Where is the most common case of epistaxis in trauma
Anterior bleed from the kiesselbach’s plexus
Where is the most common cause of epistaxis due to old age/hypertension
Posterior bleed from the spenopalatine artery
Investiagtion for salivary gland stones
X Ray Sialogram
Diagnostic test for otosclerosis
Pure tone audiometry
What is schwartz sign and what does it mean?
Pink tinge to the tympanic membrane - diagnostic indicator for otosclerosis
What conditions are people with psoriasis at increased risk of getting?
Cardiovascular disease, Type 2 diabetes, NAFLD and hypertension
What is the most common type of thyroid cancer?
Papillary thyroid carcinoma (75%)
Which type of thyroid canceris more likely to metastasize?
Follicular carcinoma
What type of hearing loss is seen in meniere’s disease
Sensorineural
