ENT Book Flashcards

1
Q

bacterial conjuct s/s

A

purulent drainage
crusty eyes

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2
Q

viral conjuct s/s

A

watery discharge

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3
Q

allergic conjuct s/s

A

stringy watery discharge
cobblestone apperence

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4
Q

foreign body conjuct s/s

A

one eye affected

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5
Q

bacterial conjuct tx

A

eye drops
-fluorquninoles

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6
Q

viral conjuct tx

A

comfort and acyclovir

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7
Q

alergic conjuct tx

A

antihistamines

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8
Q

foreign body conjuct tx

A

oral anitbioitcs

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9
Q

periorbital cellulitis

A

bacterial infection of the eyelid and surrounding tissues

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10
Q

periorbital cellulitis cause

A

staph or strep

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11
Q

periorbital cellulitis s/s

A

red/purple eye lid
swollen
tender
painful or restricted movement s

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12
Q

periorbital cellulitis tx

A

IV antibiotics
hot pack

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13
Q

periorbital cellulitis complications

A

abscess behind orbit or bacterial meningitis

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14
Q

strabismus
- estropia

A

inward

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15
Q

strabismus
- extropia

A

outward

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16
Q

strabismus s/s

A

eyes appear misaligned
squinting
closing one eye to read
having trouble picking up objects
dizziness
head ache

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17
Q

strabismus tx

A

occlusion therapy (eye patch)
compensatory lens
surgery of muscle
eye drops that cause blurring of good eye

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18
Q

ROP

A

when premature blood vessel in retina constricts and becomes necrotic which causes abnormalities of the retina, optic disc, and macular

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19
Q

ROP risk factors

A

low birth weight
short gesation
supplemental O2 or ventilation

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20
Q

ROP degree of visual loss is determined by

A

revasularization

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21
Q

otitis media

A

inflammation of middle ear

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22
Q

otitis media is believed to be caused by

A

eusthaian tube dysfunction

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23
Q

why does OM cause after URI

A

URI causes mucous membranes of the eustachian tube to become edemeatous which results in blocked air flow and the fluid is pulled from mucosal lining into former air space providing medium for growth

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24
Q

OM s/s

A

acute onset of pain
bulging of the tympanic membrane
D/V/F
irritability

25
Q

first line tx for OM

A

amoxicillin

26
Q

how to avoid OM

A

bottle propping
decrease second hand smoke

27
Q

OM risk factors

A

child care center
tobacco
propping

28
Q

OE

A

inflammation of skin surrounding soft tissue of ear canal
AKA: swimmers ear

29
Q

OE s/s

A

drainage may be vissible with broken TM or tubes
pain
itching
irritated canal

30
Q

OE treatment

A

steroid ear drops
antibiotic ear drops
Ibuprofen/tylenol: pain

31
Q

OE education

A

no swimming for 5 days

32
Q

tympanovstomy tubes

A

small tube placed in the tympanic membrane

33
Q

tympanovstomy tubes education
- after surgery

A

increase fluids
regular diet
pain medication
ear drops if prescribed
quite activites

34
Q

tympanovstomy tubes education
- post op peroid

A

follow instructions on swimming
use of ear plugs to prevent water
alert if dislodged or falling out
report purulent drainage

35
Q

epitaxis w
- what one is more dangerous

A

posterior

36
Q

how do we know a posterior or anterior bleed

A

observe the flow

37
Q

if its confined to one nostril what bleed

A

more likely anterior but could also be posterior

38
Q

if blunt head trauma occurred what type of bleed

A

posterior

39
Q

treatment for anterior nose bleed

A

sit up right with head tilted forward
squeeze below the nasal bone for 10-15 mins

if not stopping take a cotton ball soaked in vasconstribticting meds

40
Q

treatment for posterior nose bleed

A

packing

41
Q

epitaxial education

A

more vulnerable for nose bleeds for 3-4 days
don’t bend over
no strenuous exercise
no hot drinks or shower
sleep with HOB elecated
humidifier

42
Q

epitaxis common cause

A

irritation
low humidity
forceful coughing
allergies
infection

43
Q

sinusitis

A

inflammation of one or more of the paranasal sinuses
- persistent cough
-malodorus breath
- hyponasal speach

amoxicillin

44
Q

pharyngitis

A

infection that affects the pharynx and tonsils

45
Q

bacterial pharyngitis

A

strep throat
- GABHS

46
Q

pharyngitis viral s/s

A

sore throat
minimal redness
pain
low grade fever

47
Q

pharyngitis bacterial s/s

A

purulent drainage
white patches

48
Q

pharyngitis bacterial
strep first line of med

A

penicillin
- if allergic use a -mycin

49
Q

pharyngitis bacterial complications

A

if untreated will lead to rheumatic fever
sinusitis
glomerulonephritis
meningitis

50
Q

tonsilitis

A

infection inflammation of the tonsils

51
Q

adenoids

A

lymphatic tissue located on the posterior pharyngeal wall

52
Q

tonsilitis diagnosis

A

sore throat
>38.3
cervcial andeopathy
tonsils exudate
positive GABHS

53
Q

tonsillectomy considerations

A

7/1, 5/2, 3/3
peritonsilar abscess, airway obstructive, unresponsive to meds, multiple antibiotic allergies

54
Q

tonsillectomy after care

A

ice collar
cold fluids (decreased spasms)
increase fluids
Tylenol

no Motrin or codeine

55
Q

tonsillectomy infection

A

38.8

NOT:
- low grade fever or white with odor, this is normal

56
Q

should we suction after tonsillectomy

A

NO

57
Q

bleeding s/s of tonsillectomy

A

frequent swallowing or cleaning throat

58
Q

do we depress tongue in tonsillectomy

A

no

59
Q

ENT Peds differences

A

neonate 20/100-20/400
neonate sees best at 20 cm
optic nerve is not myelinated so decreased color distinguishing
binocularity 2-4 months
nysaagmus is common in Neo
corona is larger so easily injured
iris is blue/gray but changes during first 6 mo
6-7 is when 20/20
test for color blindness at 5 years old
eusthanian tube is shorter, wider, more horizontal
auditory function at 5 mo
nasal breathing at 6 mo
strong mouth muscles for sucking and swallowing and speech
6 mo 1st tooth
2 years 20 primary teeth