ENT Flashcards
primary gingavitasis
resolves 2-3 weeks
beyond mouth - aciclovir
sinusitis
will resolve in 14 days without ABs - paracetamol, NSAIDs, steroids if severe
blow out fracture
medial wall and floor
ramsay hunt treatment
aciclovir
bells palsy
prednisone in 72 hours
cholesteatoma
surgery and follow up as does reoccur
otitis media with effusion nothing till when
refer when
3months
over 3 months, bilateral CHL >25, speech/language problems
otitis media treatment
under 3 grommets
over 3 grommets and adenoidectomy
hearing aids
AOM resolve when
within 1 days without ABs
AOM rx when and what PA
bilateral in under 2yo
or ottohrea
Amoxicillin 500mg TDS for 5 days
Clarithromycin 500mg BD for 5 days
otitis external treatment
aural toilet
acetic acid for 7 days max
sofradex, otomize
otitis external post swab
pseudomonas - cipro
fungal - clotrimazole
oedema - corticosteroids
acute tonsillitis can swallow
PA
Penicillin V oral 1g bd 10 days Clarithromycin PO 500mg bd 5 days
acute tonsillitis can’t swallow
PA
Benzylpenicillin IV 1.2g qds
Clarithromycin IV 500mg bd
peritonsillar abscess
PA
can’t swallow
Benzylpenicillin IV 1.2g qds or Penicillin V oral 1g bd
Clindamycin PO 450mg tds (10 days)
IV Clindamycin 600mg – 1.2g qds
uncx rhinosinusitis
avoid ABs - resolve in 14 days
acute rhino sinusitis rx
PA
Penicillin V oral 1g bd (7 days)
Doxycycline 200mg on day 1 then 100mg thereafter (7 days)
EPISTAXIS WHEN to give ABs and which ones
If packing has been in for >48hours – Flucloxacillin PO 1g qds – STOP when packing removed
meniers treatment
phorromazine esp if vom
betahistine
how long does sinutisi last
2.5w
frequency range in people
250-8K