ENT buzzwords Flashcards
Cholesteatoma
Rinne result: Bone conduction > air conduction in affected ear, Air conduction > bone conduction in unaffected ear
Weber result: Lateralises to affected ear
What drugs can cause tinnitus?
Aspirin and other NSAIDs taken in high doses can cause tinnitus
Rotatory nystagmus
Rotatory nystagmus is indicative of a positive Dix-Hallpike manoeuvre
pain on palpation of the tragus, itching, discharge and hearing loss
Otitis Externa
Unilateral polyps are a red flag symptom for what?
nasopharyngeal cancer and therefore warrant an urgent referral to ENT.
Brandt-Daroff exercises
Brandt-Daroff exercises can be performed by the patient at home to treat BPPV
Dix-Hallpike
The Dix-Hallpike manoeuvre is used to diagnose BPPV. In patients with BPPV, this manoeuvre provokes vertigo and torsional upbeating nystagmus following a short latent period (5 to 20 seconds). They should resolve within 1 minute if the patient’s position is not changed.
presents with sudden vertigo and hearing can be affected. A viral infection often precedes its presentation
Viral labyrinthitis
first line antibiotic for tonsillitis
Phenoxymethylpenicillin
Auricular haematomas
Need urgent ENT referral
Ramsay-Hunt syndrome
Ramsay-Hunt syndrome is shingles affecting the facial nerve. This results in ear pain, vesicles in the external ear canal associated with vertigo and deafness.
Haemorrhage 5-10 days after tonsillectomy
commonly associated with a wound infection and should therefore be treated with antibiotics
common cause of bacterial otitis media
Haemophilus influenzae
contraindication to having a cochlear implant
Chronic infective otitis media
acute epiglottitis infective organism?
Haemophilus influenzae