ENT Flashcards
unilateral hearing loss and tinnitus
dizzy
mx?
menieres
buccal / IM prochlorperazine
chronic symptoms in vestibular neuronitis mx?
vestibular rehabilitation
what is vestibular neuronitis?
vertigo attacks
N+V
nystagmus
NO HEARING LOSS / TINNITUS
vertigo attack
nystagmus present
no tinnitus?
vestibular neuronitis
what distinguishes between vestibular neuronitis and PC stroke?
HiNTs exam
Sudden onset sensorineural hearing loss?
urgent ENT referral
MRI to exclude schwannoma
High dose corticosteroids- oral pred
epistaxis bleed site hard to localise mx?
anterior pack insertion
Mx of epistaxis? first aid measures
sit forward, mouth open
pinch soft area of nose firmly - 20 mins
Mx of epistaxis
first aid not succesful?
naseptin - neomycin and chlorhexidine
admit
> comorbin
> <2
epistaxis continous?
cautery -3-10s
> anterior pack
Epistaxis that has failed all emergency management
sphenopalatine ligation
what area is a common site for epistaxis?
littles area
anterior nasal septum
most common cause of otitis media
bacterial?
haemophilus influenzae
otitis media otoscopy finding?
bulging tympanic membrane
erythema
perforation
abx in otitis media?
5-7 days amoxicillin
quinsy
peritonsillar abscess
IV abx and surgical drainage
quinsy features?
lateralised one sided sore throat
deviation to UNAFFECTED side
trismus
reduced neck motility
labrynthitis
vertigo
hearing loss
Dix Hallpike manoeuvre
rotary nystagmus
lower pt to supine
BPPV management?
Epley manouvre
vestibular rehab
mouth ulcers heal how fast?
10-14 days
weber normal finding?
bilateral
Weber where does sound localise in conductive?
to the side with conductive hearing loss
