ENT 4 Flashcards
Tx for otitis externa.
Ciprofloxacin-dexamethasone
Ofloxacin.
Do not use if perforation is suspected.
Severe auricular pain, otorrhea. Cranial nerve palsies.
Exam shows severe auricular pain on traction of the ear canal or tragus.
Granulation tissue at the bony cartilaginous junction of the ear canal floor.
Malignant necrotizing otitis externa
Tx for malignant necrotizing otitis externa.
Admission
IV ciprofloxacin
Presents as popping of the ears, underwater feeling, ear pressure. Often follows viral URI or allergic rhinitis.
Tx is autoinsufflation and decongestants for congestive symptoms.
Eustachian tube dysfunction
Ear pain, fullness, and hearing loss after flying, diving, or any damage to the TM from sudden pressure changes.
Barotrauma
Painless otorrhea that is brown or yellow discharge with a strong odor.
Granulation tissue and conductive hearing loss.
Cholesteatoma
Continous peripheral vertigo, dizziness, nausea, vomiting and gait disturbances. Nystagmus.
No hearing loss.
Vestibular neuritis
Continous pheripheral vertigo and hearing loss, tinnitus.
Labyrinthitis
Management for vestibular neuritis and labyrinthitis.
glucocorticoids
Meclizine
Episodic virtigo + fluctuating sensorineural hearing loss, tinnitus, and ear fullness.
Horizontal nystagmus.
Meniere’s disease
Tx for meniere’s disease
Low salt diet, no caffeine, nicotine, chocolate, and alcohol.
Meclizine and HCTZ can help.
Unilateral sensorineural hearing loss, tinnitus, facial numness or facial paresis.
Acustic vestibular CN VIII neuroma.
When should acute sinusitis be considered bacterial?
after 10-14 days.
Acute sinusitus is typically viral. If bacterial what is the treatment?
Amoxicillin-clavulanic acid.
