ENT Flashcards
What is the treatment for bacterial otitis externa?
Gentamicin drops
Steroid drops
Why does having a hearing aid increase the risk of otitis externa?
Keeps air in auditory canal continuously moist
What can overuse of gentamicin ear drops lead to?
Secondary fungal infection
A 57 year old mechanic presents with unilateral left sided tinnitus and hearing loss. On examination you notice he is unable to abduct his left eye. What is the likely cause?
Acoustic neuroma
What is a cholesteatoma?
Keratinising squamous epithelium that grow and invade structures in the middle ear so patient can present with facial nerve problems, sensorineural hearing loss, purulent discharge
Why might a patient with obstructive sleep apnoea complain of a sore throat?
Mouth breathing: air is not moistened by normal mechanisms in the nose so dries and damages the pharyngeal mucosa
What are causes of vertigo?
Benign paroxysmal vertigo
Labyrinthitis
Ménière’s disease
What causes benign paroxysmal vertigo?
An otolith in the semicircular canals which disturbs the fluid and causes a sensation of vertigo especially when turning head to side
What is treatment for benign paroxysmal vertigo?
Epley manoeuvre
What is Ménière’s disease?
Due to over production of fluid within semi circular canals and causes vertigo and tinnitus, hearing loss and aural fullness
What is presbyacusis?
Deterioration of hearing related to age
Hearing loss in group situations and when there is background noise
Comes on gradually and is difficult to pinpoint the starting point
Audiogram will show sensorineural deafness in higher frequency ranges
What is otosclerosis?
Autoimmune disease where there is bony fusion occurring between ossicles, specifically between foot plate of stapes and oval window
Presents as gradual conductive hearing loss
What would expect nasal polyps to look like on examination?
Mucosa appears pale and gelatinous
Polyps found under middle turbinate
They can fill maxillary sinus and extend out from middle meatus
What are symptoms of nasal polyps?
Rhinorrhoea
Obstructed nasal airways
What is the treatment for chronic otitis media?
Grommet insertion
What might a tympanic membrane of an adult look like who had a history of recurrent otitis media with effusion as a child?
Ear drum look retracted and scarred
Tympanosclerosis