ENT

Question 1

Auricupar haematoma

Answer 1

Same day refer to ENT to avood cauliflower ear

Question 2

Vestibular labyrinthitis

Answer 2

Recent viral infection
Sudden onset
Nausea and vomiting
Hearing may be affected - in neuritis this is not affected

Question 3

BPPV

Answer 3

Gradual onset
Triggered by change in head position
Each episode lasts 10-20 seconds
Dix hall pike dx
Epley rx usually need to refer

Question 4

Chronic rhinosinusitis

Answer 4

Red flags symptoms
unilateral symptoms
persistent symptoms despite compliance with 3 months of treatment
epistaxis

Question 5

Head impulse test

Answer 5

Positive when move head then eyes move away then quickly look bact at you this represents an abnormal vestbular cochlear reflex (peripheral) in central cause this would be negative

Central cause - bidirectional or vertical nystagmus