Ent Ddx

Question 1

Sinusitis

Answer 1

Inflammation or infection of sinus passages due to increase in mucus and narrowing of passages.

Fever, Nasal congestion, positional headache

Question 2

Septal haematoma

Answer 2

Development of haematoma between septal cartilage and overlying mucoperichondrium

Bleeding after Nasal trauma, brusing, poor air entry

Question 3

Foreign body

Answer 3

Any suspicion that a person has been attempting to put a FB in the nose or ear.

Nose. Poor Nasal breathing, congestion, discomfort

Ear. Pain, irritation , impaired hearing

Question 4

Cerumen impaction

Answer 4

Build up of cerumen resulting in partial or full obstruction

Tinnitus, otalgia, impaired hearing

Question 5

Otitis medias

Answer 5

Infection of Tympanic membrane

Fever, impaired hearing, otalgia

Question 6

Ramsay hunt syndrome

Answer 6

A shingles outbreak that affects the facial nerve, occurs in patients with history of chicken pox

Facial paralysis, otalgia, vertigo

Question 7

Otitis externa

Answer 7

Infection or inflammation of external ear canal

Otalgia, discharge from ear, itching of ear

Question 8

Perforated Tympanic memebrane

Answer 8

Puncture of tympanic membrane weather from internal/external causes

Vertigo, otalgia, ear discharge

Question 9

Mastoiditis

Answer 9

Bacterial infection that affects the mastoid bone behind the ear

Inflammation behind ear, otalgia, impaired hearing

Question 10

Epistaxis- types

Answer 10

Anterior, normally trauma cause, can be seen

Posterior, normally pathologically caused, felt running down back of throat with minimal visualisation