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
first line tx for OM
amoxicillin
26
how to avoid OM
bottle propping decrease second hand smoke
27
OM risk factors
child care center tobacco propping
28
OE
inflammation of skin surrounding soft tissue of ear canal AKA: swimmers ear
29
OE s/s
drainage may be vissible with broken TM or tubes pain itching irritated canal
30
OE treatment
steroid ear drops antibiotic ear drops Ibuprofen/tylenol: pain
31
OE education
no swimming for 5 days
32
tympanovstomy tubes
small tube placed in the tympanic membrane
33
tympanovstomy tubes education - after surgery
increase fluids regular diet pain medication ear drops if prescribed quite activites
34
tympanovstomy tubes education - post op peroid
follow instructions on swimming use of ear plugs to prevent water alert if dislodged or falling out report purulent drainage
35
epitaxis w - what one is more dangerous
posterior
36
how do we know a posterior or anterior bleed
observe the flow
37
if its confined to one nostril what bleed
more likely anterior but could also be posterior
38
if blunt head trauma occurred what type of bleed
posterior
39
treatment for anterior nose bleed
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
treatment for posterior nose bleed
packing
41
epitaxial education
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
epitaxis common cause
irritation low humidity forceful coughing allergies infection
43
sinusitis
inflammation of one or more of the paranasal sinuses - persistent cough -malodorus breath - hyponasal speach amoxicillin
44
pharyngitis
infection that affects the pharynx and tonsils
45
bacterial pharyngitis
strep throat - GABHS
46
pharyngitis viral s/s
sore throat minimal redness pain low grade fever
47
pharyngitis bacterial s/s
purulent drainage white patches
48
pharyngitis bacterial strep first line of med
penicillin - if allergic use a -mycin
49
pharyngitis bacterial complications
if untreated will lead to rheumatic fever sinusitis glomerulonephritis meningitis
50
tonsilitis
infection inflammation of the tonsils
51
adenoids
lymphatic tissue located on the posterior pharyngeal wall
52
tonsilitis diagnosis
sore throat >38.3 cervcial andeopathy tonsils exudate positive GABHS
53
tonsillectomy considerations
7/1, 5/2, 3/3 peritonsilar abscess, airway obstructive, unresponsive to meds, multiple antibiotic allergies
54
tonsillectomy after care
ice collar cold fluids (decreased spasms) increase fluids Tylenol no Motrin or codeine
55
tonsillectomy infection
38.8 NOT: - low grade fever or white with odor, this is normal
56
should we suction after tonsillectomy
NO
57
bleeding s/s of tonsillectomy
frequent swallowing or cleaning throat
58
do we depress tongue in tonsillectomy
no
59
ENT Peds differences
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