ENT Flashcards
what is the difference between glue ear and acute otitis media
acute otitis media is an infection of the middle ear, glue ear is the presence of fluid in the middle ear which is not necessarily infected
is there an effusion in acute otitis media?
There can be
describe the eardrum in acute otitis media and glue ear
AOM - bulging and red
OME - pale and retracted
Treatment for AOM
if less than 2 years give abx, if older watchful waiting
describe the audiogram for mixed hearing loss, conductive and sensorineural (bonus point for noise induced hearing loss)
write it out dont be lazy
neck lumps in the midline?
Dermoid cyst
Thyroglossal cyst
Goitre
Neck lumps in anterior triangle?
Lymphadenopathy Branchial cyst Carotid body tumour (chemodecta) Carotid aneurysm Salivary glands
what is the hallpike manouvre
diagnostic for BPPV
what is the epley manouvre
fixes BPPV
What is the cause of labyrinthitis?
Viral
What is the presentation of labryinthitis
dizzy, feels like they are going to throw up, lasts for days, HL and tinnitus
What is the only cause of vertigo we learnt about with aural fullness?
Menieres
What is the centor criteria and when do you give abx
tonsilar exudate, fever, lymphandenopathy, absence of cough, >3
What is the Fever-PAIN criteria
Fever, purulence, attended rapidly, inflamed tonsits, no cough, 2-3 = delayed abx, >4 abx
what should you not give in a sore throat
amoxicillin
