ENT Flashcards
What is the most likely cause of sudden onset of sensorineural hearing loss in middle aged men?
Idiopathic
Weber’s test localises to the left ear, whilst Rinne’s test is positive bilaterally is what?
Right sensorineural hearing loss
What drugs cause gingival hyperplasia?
Phenytoin
Ciclodporin
Calcium channel blockers
AML
What do u see in Webber’s and Rennes in ear wax obstruction of right ear?
Weber: sound localises to the right
, Rinne: BC> AC on the right and AC>BC on the left
What condition is this? bilateral parotid gland swelling and symptoms of a dry mouth. On examination she has bilateral facial nerve palsies.
Scarcoidosis
What are signs of acute mastoiditis?
- severe pain
- ear protruding forward
- tend and boggy ear
- reddened mass behind the ear
What is a complication of acute mastoiditis?
Meningitis
What is tonsillitis SCC associated with?
HPV infection
What are signs of tonsilar SSC?
- sore throat
- unilateral ear pain
- sensation of lump in throat
- weight loss
- enlargement of tonsil
- unilateral cervical lymph nodes
What is first line for tonsillitis?
Phenoxymethylpenicillin
Explain the results of Webber’s test
A vibrating tuning fork is placed in the centre of the head. The sound then travels to both ears. If the sound is her loudest in one ear, in this case the left, it can indicate either a conductive hearing loss of the left ear or a sensorineural loss of the right ear
If a perforated tympanic membrane doesn’t health after a 8 weeks what should be done?
Myringoplasty
What are features of otosclerosis?
conductive hearing loss, tinnitus and positive family history
What is given to resolve symptoms associated with vestibular neuronitis?
prochlorperazine
What is seen in conductive hearing loss?
Rinne result: Bone conduction > air conduction in the affected ear, Air conduction > bone conduction in the unaffected ear
Weber result: Lateralises to the affected ear
