ENT conditions Flashcards

1
Q

Most common type of sinusitis in kids

A

Ethmoidal

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2
Q

What type of sinusitis rarely occurs in children <10y

A

Frontal

frontal sinus only develops later

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3
Q

4 viral causes of tonsillitis

A
  1. Adenovirus
  2. Enterovirus
  3. Rhinovirus
  4. EBV
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4
Q

Bacterial cause of tonsillitis

A

Group A beta-haemolytic strep

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5
Q

Centor criteria for tonsillitis

A
Cough
Exudate
Nodes (lymphadenopathy)
Temperature (fever)
OR: age modifier (more likely under 15, less likely over 44)
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6
Q

What is quinsy

A

Peritonsillar abscess

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7
Q

If a child had

  • Rinne’s test: negative on L side
  • Weber’s test: louder on L side

What type/which side hearing loss does he have?

A

L conductive hearing loss

Rinne’s: shows conductive hearing loss

Weber’s lateralises to the ipsilateral side of conductive hearing loss

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8
Q

If a child had

  • Rinne’s test: negative on L side
  • Weber’s test: louder on R side

What type/which side hearing loss does he have?

A

L combined hearing loss

Rinne’s: shows conductive hearing loss

Weber’s lateralises to the contralateral side of sensorineural hearing loss

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9
Q

If a child had

  • Rinne’s test: positive in both ears
  • Weber’s test: louder on R side

What type/which side hearing loss does he have?

A

L sensorineural hearing loss

Rinne’s: shows no conductive loss

Weber’s lateralises to the contralateral side of sensorineural hearing loss

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10
Q

What happens in otosclerosis?

What type of hearing loss does it cause?

A

Genetic condition. Abnormal growth of stapes.

Causes conductive hearing loss.

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11
Q

If a baby has congenital impaired hearing, treatment should be started before what age?

A

Before 6 months

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12
Q

In what age group is otitis media most common?

Why is this age group at risk?

A

Most common in 6-12 months

These children have short horizontal eustachian tubes

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13
Q

Viral causes of otitis media

A
  1. RSV

2. Rhinovirus

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14
Q

Bacterial causes of otitis media

A
  1. Pneumococcus
  2. Hib
  3. Moraxella catarrhalis
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15
Q

What condition is an indication to remove tonsils and adenoids

A

Obstructive sleep apnoea

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16
Q

Complications of enlarged adenoids

A
  • blocked nose
  • sore throat
  • otitis media
  • obstructive sleep apnoea