ENT Flashcards
Sinusitis
MC viral (rhinosinusitis)
SS:
Colored rhinorrhea
Sinus pain
Congestion
localized or diffuse HA Fever Lean forward increase pain hyposmia/anosmia mucosal edema erythema
Bacterial:
10 day symptoms
fever >= 102
Eval:
None
CT
Txt: nasal lavage fluids rest analgesics decongestants
Bacterial:
Augmentin 500 mg bid x 10 days
decongestants
antihistamine
Allergic rhinitis
immunologically mediated adverse reaction
SS: Sneezing Post nasal drainage Rhinorrhea Itchy nose Nasal congestion Throat, sore
Dennie-morgan
Eyes involved
Allergic salute and shiners
d
Eval:
allergy testing
CT
Txt: allergen avoidance corticosteroids (flonase 2 sprays/nostril qd) antihistamine decongestants
Rhinitis medicamentosa
severe nasal congestion with clear drainage
Cause:
Afrin > 3 days
Txt:
stop afrin
Nasal polyps
SS: pale (yellow to white) edematous glistening mucosally covered masses nasal congestion rhinorrhea
Eval:
allergy evaluation
sweat chloride testing for CF
CT
Txt:
intranasal steroids
oral steroids
surgery
What is Samter’s triad
asthma
aspirin allergy
Nasal polyps
What is trismus
restricted ability to open jaw
Viral pharyngitis symptoms
Fever Ear pain Nasal congestion /rhinorrhea Cough Enlargement tonsils/erythema pharyngeal/exanthem viral Sore throat
Strep throat symptoms
Pet (echiae)
Fever
Exudate
Lack cough
Tender anterior cervical lymph nodes
the
f Ear pain Nasal congestion/rhinorrhea cEnlargement tonsils/erythema pharynx Sore throat
Txt:
penicillin 500 mg bid x 10 days
scarlet fever
strawberry tongue
sandpaper rash
strep throat
peritonsillar abscess
hot potato voice
unilateral pain
uvula deviation
mononucleosis
Sore throat HA Exudate tonsils Lymph posterior Fever Splenomegaly
epiglottis
thumb(printing on xray) S(tridor)
on the
Fever
Anterior neck pain
Drooling/Dysphagia/Distress
Sore throat
Croup
F(ever)
the strid(or)
to the
church (steeple sign)
with the dog (barky cough)
and horse(ness)at night
Rhuematic Fever
SS:
Jones
Subcutaneous nodules Carditish Erythema marginatum Migratory arthritise Syndenham's chorea
at a
Fever(ed)
P(R) interval
Arthralgias
C(RP)
E(SR)
Aphthous Stomatitis
Canker Sores
Dental Abscess
Pain Erythema Nausea/Vomiting/fever/chills i Swelling
What is used to treat TM perforations if otorrhea present in ear
Ciprodex
Floxin
What is BPPV
- Benign proximal peripheral Vertigo
- otoconia (crystals) displased into Posterior semi-circular canal
eval: hallpike delayed onset fatigue nystagmus
Txt: do nothing epley maneuver sermont maneuver brandt-daroff exercises PSSC occlusion
What is meniere’s
SS: intermittent vertigo low frequency buzzing or roaring tinnitus aural fullness
Txt: diet meds steriods ELS decompression surgery
What is acoustic neuroma
benign tumor CN VIII
progressive or sudden hearing loss
tinnitus
imbalance
Eval:
MRI w/ gadolinium
What is acute otitis externa
swimmer’s ear
SS:
severe pain
swelling/redness of external auditory canal
Txt:
ciprofloxacin drops
wicks
narcotic
