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
normal mild HL mod severe profound
over 20 20-40 40-70 70-95 >95
if brackets next to HL
SNHL
tongue anterior 2/3 general supply
special
CN V3
CN 7
tongue posterior 1/3
CN IX - glossopharyngeal
external carotid
facial and maxillary
maxillary
sphenopalatine
greater palatine
internal carotid
ophthalmic
perforated tympanic membrane not spontaneously healing
myringoplasty
mastoiditis cx
meningitis
URO but what stone is inherited
cystine
white spots on soft palate and ear pain
ramsay hunt
surfer with gradual hearing loss
exostosis
female who had permanent complete hearing loss in pregnancy
otosclerosis
single crease on nose
sign of allergy/allergic rhinitis
surfer with hearing loss
exotoses
sore throat
asthamatic
nystatin liquid
mastoiditis
acute admission
pain on eating
refer to dentist
cholesteatoma
urgent ENT referral
farmer w cat has recurrent rhinitis
RASST
chronic sinusitis and discharge
CT sinus
allergic rhinitis no prev treatment
steroid inhaler
ramsay hunt syndrome reactivation where
treatment
c7
oral acyclovir and corticosteroids
diver and otitis externa
aspergillus nigar
sinusitis <3 days
decongestants
trauma then blocked nose
septal haematoma
treatment - septoplastly
elderly man
thin clear discharge
vasomotor rhinitis
patient runny nose w cat
perinnial rhinitis
sudden headache
very dizzy
never had before
vestibular migraine
vertigo and tingling in arms
vertebra basilar insufficiency
women can’t cough which nerve
recurrent laryngeal
risk of ligation of sphenopalatine
continued bleeding
visual disturbance
CSF leak
