ENT Flashcards
What lines the nose?
Resp epithelium
What lines the roof of the nasal cavity?
Olfactory epithelium
What is the role of the nasal turbinate?
Heat up and moisten air
What is Kiesselbach’s area?
Area where the arteries of the nose anastamose
What drains into the superior meatus?
Posterior ethmoid air cells
What drains into the middle meatus?
Frontal and maxillary sinus
Anterior and middle air cells
What drains into the inferior meatus?
Nasolacrimal duct
How does a septal haematoma present?
Bruising Swelling Tenderness Deviation Epstaxis
How is mild epistaxis managed?
Lean forward
External compression
How is moderate epistaxis treated?
Silver nitrate cautery
How is severe epistaxis treated?
Topical vasoconstrictors
Rhino packs
Arterial ligation
How does sinusitis present?
Purulent nasal discharge
Nasal obstruction
Facial pain
How long does viral sinusitis last?
<10 days
How is acute viral sinusitis treated?
Analgesia
Decongestants
intranasal corticosteroids
Mucolytics
How is acute bacterial sinusitis treated?
Penicillin or doxy
How is chronic sinusitis managed?
Functional endoscopic sinus surgery
How is chronic sinusitis investigated?
Anterior rhinoscopy
What rheumatology condition are polyps a/w?
EGPA
How do nasal papillomas present?
Anosamia
Bleeding
Irritation
Occlusion
What is the most common cancer in the nose?
SCC
What is the centor criteria for bacterial tonsillitis?
Tonsillar exudate
Tender anterior cervical lymphadenopathy
Fever
Absence of cough
How is tonsillitis treated?
Viral - supportive
Bacterial - Penicillin
Which viruses cause tonsillitis?
Rhinovirus
Adenovirus
What causes Scarlett Fever?
GABHS
How does Scarlet fever present?
Maculopapular rash Flushed cheeks Sore throat Fever Lymphadenopathy Strawberry tongue
How is Scarlet Fever managed?
Penicillin
How does epiglottitis present?
Sore throat Dysphagia Acute stress Fever Difficulty breathing Stridor
How is epiglottitis managed?
Secure airway
IV ceftriaxone
Senior help
How does acute otitis media present?
Fullness Bulginess Pulling on ear Otalgia Fever
How is otitis media investigated?
Otoscopy
Audiometry
How is otitis media treated?
Should resolve in a week
Amoxicillin
How does glue ear look on otoscopy?
Fluid line present
Poor schooling
Behavioural issues
Speech delay
How is glue ear investigated?
Audiometry
Tympanometry
How is glue ear managed?
Most resolve in 3m
Grommet
Adenoidectomy
What is the medical term for glue ear?
Otitis media with effusion
How does cholesteatoma present?
Hearing loss
Discharge
Tinnitus
How is cholesteatoma investigated?
Diffusion weighted MRI
How is cholesteatoma managed?
Surgery
What is cholesteatoma?
Collection of keratin in the middle ear?
How does otosclerosis present?
Gradual onset conduction hearing loss
How is otosclerosis managed?
Stapedectomy
Bilateral acoustic neuroma in a young patient suggests what?
NF2
How does acoustic neuroma present?
Hearing loss
Tinnitus
Imbalance
Absent corneal reflex
How is acoustic neuroma investigated?
MRI
What is presbycusis?
Age related hearing loss