ENT and eyes Flashcards
surfer who has gradual unilateral hearing loss
exostosis
surfers ear
many surfers and open water swimmers and wind surfers can get it . due to abnormal boine growth (otosclerosis)
female who has permanent complete unilateral hearing loss in pregnancy
otosclerosis
pregnancy accelerates it/ makes it worse
someone who had had hearing loss after getting off plane
glue ear ??
man treated with antibiotics for presumed pneumonia, smoker, returns 6 weeks later still hoarse, what do doi?
refer urgently to ENT
back pain, small pupils and red eyes
ank spond
treatment for anterior uveitis
topical steroids
treatment for acute closed angle glaucoma
IV acetazolamide (diamox)
it is a carbonic anhydrase inhibitor
if somebody has a squint, what is the important first step in helpign them
correct any refractive errors
in children how are squints/ lazy eyes corrected
patching atropine drops (constricts the eye to make the other one work harder)
MS with optic neuritis in left eye…. what visual field defect will you see
left central scotoma
man age 21, sounds like MS nystagmus and pupils not looking in same direction
internuclear ophthalmoplegia
bilateral red eye in child
chlamydial conjunctivitis
person with contact lenses abd has red eye and pain
corneal ulcer
bakc pain and red eye
anterior uveitis , seen in ank spond
treatment of nasal polpys
steroids
sinusitis for < 3 days, how do you treat it
decngestants
not antibiotics
mid-dilated fixed pupil and painful red eye
acute closed angle glaucoma
deep violaceous and red eye
scleritis
red eye, no pain, pool of bloods
subconjunctival haemorrhage
elderly lady with thin clear nasal discharge
vasomotor rhinits
patient has runny nose with a cat
perennial rhinitis
stridor and drooling
epiglottitis
contact lens wearer and reduced visual acuity
corneal ulcer
papilodema , headache and hemiparesis, what test shoud you do?
head CT
vertigo and tingling in arms
vertibrobasillar insuffiency
due tpo decreased bloodflow to posterior part of brain
patient with trismus (locked jaw),, unilateral throat pain and deviated uvula
quinsy
women had children, N+V then sudden onset dizziness lasting 2 weeks
acute labrynthitis
woman had children, weakness in face, vertigo, previous episode of weakness
MS
guy standing up from chair and gets dizzy
autonomic
red eye and discharge
conjunctivitis
farmer has a cat and has recurrent rhinitis, what test should you do
RASST
chronic sinusitis and discharg, what test should you do?
CT sinus
painful vesicles in ear
ramsey hunt syndrome
single crease on nose is a sign of what
allergy/ allergic rhinits ( from constant rubbing)
young man with 6 weeks of conjunctivitis and had conjunctival follicles. has been unresponsive to 1 week of topical chloramphenicol.
chalmydial conjunctivitis
treatment of dendritic ulcer
acyclovir