ENT Flashcards
Acoustic neuroma
Vestibular nerve.
Schwann cells
UNILATERAL SN HEARING LOSS
+ vertigo
Acute bacterial sinusitis
Lasts 7-30 days.
S. pneumoniae, H. influenza
Fever, discharge, anosmia
clinical diagnosis
Acute laryngitis
increased pressure leads to dysphonia/aphonia
vocal cords and larynx
Acute mastoiditis
acute otitis media.
boggy mass
High dose IV steroids. (usually s. pneumonia).
Acute tonsillitis
Usually viral- 1 week.
Centor criteria
Pen V if bacterial
Oesophagus cancer
Adenocarcinoma or SCC
Tobacco/alcohol/obesity/barrett’s
Adenoid cystic carcinoma
Can happen anywhere
Usually salivary glands
Locally invasive.
Allergic fungal sinusitis
immunoCOMPETENT (not like other fungi and HIV)
breathe in a fungus.
fungal debris and mucin in sinus
RAST test
amount of IgE in blood
Patch testing
suspected allergic contact dermatitis.
Label an otoscopy picture.
Anterior fold Posterior fold Long process of incus Lateral malleolar process. Umbo Pars tensa Pars flaccida Manubrium of malleus.
Benign nasal polyps associated with
Cystic fibrosis
Allergic fungal sinusitis
Branchial cysts
embryonic remnants
anterior border of SCM.
Fluctuant
NO transillumination, no movement on swallowing.
Caloric testing
Cold water: horizontal nystagmus other side.
Warm water: horizontal nystagmus same side.
Basent reflex= weak on side being stimulated.
Laryngeal cancer
Smoking and alcohol
SCC
Leukoplakia
Pre-malignant white patch
Oropharyngeal cancer
persistent sore throat
lump in mouth
pain in ear
Nasopharyngeal cancer
lump in neck
nasal discharge
obstruction
deafness
Hypopharyngeal cancer
pain in ear
dysphagia
hoarseness
Thyroid cancer
usually single.
PainLESS lump
hoarseness
difficulty breathing and swallowing.
Tongue cancer
Smoking
Alcohol
Betel nut
Carotid body tumour
Paraganglioma
Slow growing neck mass.
Anterior SCM near hydoid area.
90% unilateral, don’t hurt nerves
Fontaine sign
Tumour can’t move up/down (only side to side).
Carotid body tumour
Cerebellar lesion
DANISH on same side.
Chorda tympani
Facial nerve.
Tast buds
Runs through th emiddle ear.
Chronic laryngitis
More than 3 weeks.
Irreversible damage- cilia damaged causing mucus pooling and a reactive cough.
‘Smokers cough’, GORD, Intubation.
GORD and cough
a dry cough
Cystic hygroma
Posterior triangle of neck
Transilluminates
Soft and painless
Just lymphatic drainage
Menieres
Recurrent
Vertigo for more than 20 minutes (nausea)
SN hearing loss
Tinnitus