ENT/Airway Flashcards
Bacterial pathogens of AOM
Strep Pneumo
HFlu non typable
Moraxella Catarrhalis
Other: strep pyogenes, mycoplasma pneumo, gram neg
AOM: What antibiotic to use if penicillin allergy
Cefuroxime
Clarithro
Azithro
CTx x3 doses
Complications of AOM
TM perforation Mastoiditis Venous sinus thrombosis Meningitis Facial paralysis /palsy Petrotitis/labyrinthitis Cholesteotoma Tumpanosclerosis Hearing loss
Otitis externa: causative pathogens
Pseudomonas
Staph
Strep
Proteus
Name non-otogenic causes of otalgia
CN5: stomatitis, gingivitis, lymphadenitis, parotiditis, tongue trauma/infection, dental eruption/caries:trauma/abscess
CN7: bells palsy, herpes zoster, tumour
CN9: tonsillitis, RPA
CN10s gerd, lesions on base of tongue/larynx/trachea
Cervical: injuries discitis arthritis
What is RAMSAY HUNT SYNDROME
Herpes zoster otitis
Severe otalgia facial palsy vesicle on pinnae/EAC/TM
HL/vertigo/dizziness/vomiting
Tx: acyclovir, steroids, analgesia
3 sites where FB lodges in esophagus
Thoracic inlet
GE junction
Aortic Arch
Complications of esophageal FB
Airway obstruction, esophageal perf, mediastinitis, aortic or tracheal fistual
Etiologies of epiglottitis
Most common:
Step pneumo
Group a strep
Staph aureus
And:
Haemophilus parainfluenza
Klebsiella pneumonia
The three D’s of epiglottitis
Drooling
Dysphasia
Distress
Etiologies of croup
Viral: Para influenza Influenza Adeno virus RSV Meta-Pneumovirus Bacterial Mycoplasma chlamydia
Components of the Wesley score croup
Stridor Retractions Cyanosis LOC Air entry
causes of bacterial tracheitis And most common cause
Staph aureus [most common] Strep pneumonia Nontypeable H flu Strep pyogenes H flu b Pseudomonas Moraxella catarrhalis
Epiglottitis: treatment
Cefotax and Vanco
Ent anesthesia PiCU
