ENT Flashcards
How do you a) diagnose and b) treat BPPV?
a) hallpike manoeuvre
b) Epley manoeuvre
Where is Ramsay hunt syndrome reactivated?
the geniculate ganglion of CN7
How is Ramsay Hunt treated?
oral aciclovir and corticosteroids
Is tinnitus present in labyrinthitis or vestibular neuronitis?
labyrinthitis
treat menieres
prophylaxis - betahistine
accute attacks - buccal/IM prochloroperazine
giving amoxcillin in glandular fever has what consequence?
generalised macular rash
what is the most common bacterial cause of sore throat?
strep pyogenes
acute complications of strep throat
otitis media
peritonsilar abscess
scarlet fever
late complications of strep throat
rheumatic fever
glomerulonephritis
how do you treat strep throat?
oral penicillin
Investigate glandular fever
- EBV IgM
2. paul-bunnel or monospot test
difference between CBV and EBV
CBV has no heterophile antibodies
Where are vestibular schwannomas most commonly seen?
cerebellopontine angle
loss of corneal reflex
vestibular schwannoma
battle sign
temporal bone #
what needs to be ruled out in conductive hearing loss?
cholesteatoma
what needs to be ruled out in sensorineural hearing loss?
vestibular schwannoma
investigate
a) sensorineural
b) conductive
hearing loss
a) MRI
b) CT
How is otosclerosis inherited
autosomal dominant
Positive rinnes test
normal
AC > BC
Weber test
Normal = sound is heard equally in both ears
Sensorineural deafness = sound is heard louder on the side of the intact ear
Conductive deafness = sound is heard louder on the side of the affected ear
what type of tuning fork should be used?
512Hz
If someone has asthma and nasal polyps which drug should be avoided
aspirin
What is the biggest risk factor for malignant otitis externa?
diabetes mellitus
- caused by pseudomonas
