ENT Flashcards
1
Q
Malignant otitis externa…definition/diagnosis and managment
A
Found in immunocompromised patients, particularly diabetes. Severe, unrelenting otalgia Temporal headaches Purulent otorrhoea Possible facial nerve involvement Pseudomonas aeruginosa usual cause
Treat with ciprofloxacin
2
Q
Stenson’s and Wharton’s ducts?
A
Stenson’s is from parotid, more anterosuperior
Wharton’s is submandibular.
PAST (PArotid=STensons)
3
Q
Management of acute otitis media WITH perforation?
A
Amoxicillin and review in two weeks and myringoplasty may be required
4
Q
Rinne and Webers explain?
A
Rinne (normal AC>BC):
Conductive deafness ; BC>AC on affected side
Weber
Conductive deafness: Lateralises to affected side
Sensorineural deafness: Lateralises to non affected side
5
Q
Ototoxic drugs?
A
Gentamicin Quinine Furosemide Aspirin Some Chemotherapy agents
6
Q
When to prescribe antibiotics in otitis media?
A
With perforation Bilateral under 2 years Symptoms >4 days, not improving Systemically unwell (not needing hospital admittance) Immunocompromised
7
Q
First line antibiotic for Streptococcus throat infection?
A
Phenoxymethylpenicillin 10 days If indicated by: Systemic upset Unilateral peritonsillitis History of rheumatic fever Centor 3 or more
