ENT - Glue Ear Flashcards
appearance of glue ear in children
erythema over handle of malleus
yellow fluid behind bulging ear drum
ear drum retraction
what result of an audiogram is suggestive of glue ear
a.bilateral conductive hearing loss
b.bilateral sensorineural hearing loss
c.unilateral conductive hearing loss
d.unilateral sensorineural hearing loss
a.bilateral conductive hearing loss
along with a flat tympnogram
what is the first line treatment for glue ear in children
a.amoxicllin/clarithromycin 7 days
b.5 days aminoglycoside steroid drops
c.mastoidectomy
d.hsopital admission
e.vent
e.vent and myringiotmy
comes out after 12-18 months
complications of vent placement
ear pain
persistent perforation
recurrent glue ear
tympanosclerosis (white chalky patches - no impact on hearing)
discharge and swelling of the ear canal
otitis externa
what is otitis externa treated with
a.amoxicllin/clarithromycin 7 days
b.5 days aminoglycoside steroid drops
c.mastoidectomy
d.hsopital admission
e.vent
b.5 days aminoglycoside
safe only when the middle ear is inflammed too
otitis externa with black dors amongst the debris indicates what organism
a.candida
b.asprogellis
b.asprogellis
candida - white debris
what is glue ear called in adults
otitis media with effusion
why is unilateral otitis media in adults a red flag symptom
a.indicates blockage of Eustachian tube after a URTI
b.indicates blockage of the Eustachian tube by a nasopharyngeal cancer
c.indicates a squamous cell carcinoma of the tonsils
d.indiactes parotid gland mass
e.indicates presence of a cholesystoma
b.indicates blockage of the Eustachian tube by a nasopharyngeal cancer
which of these is a red flag symptom in adults
a.bilateral otitis media with effusion in adults
b.unilateral otitis media with effusion in adults
b.unilateral otitis media with effusion in adults
may be lymphadenopathy if present due to cancer
acute otitis media - fluid with infection
glue ear - fluid without infection
which results of an ear exam are in keeping with unilateral otitis media with effusion
a.rinnes negative in affected ear and webers loudest in affected ear (c0nductive)
b.rinnes negative in affected ear and webers loudest in unaffected ear (sensorineural)
a.rinnes negative in affected ear and webers loudest in affected ear (c0nductive)
how does the ear drum appear in otitis media with effusion
a.dull,red,yellow retracted
b.oxidised wax at the attic
c.prominent dilated vessels, opacification of membrane
a.dull,red,yellow retracted
adult has unilateral om with effusion , there is no further evidence of a tumour
a.aminoglycoside and steroid drops
b.amoxicillin/clarithromycin
c.mastoidectomy
d.decongestants and vent for recurrent
e.biopsy and ct head and neck
d.decongestants and vent for recurrent
adult has unilateral om with effusion , there is further evidence of a tumour
a.aminoglycoside and steroid drops
b.amoxicillin/clarithromycin
c.mastoidectomy
d.decongestants and vent for recurrent
e.biopsy and ct head and neck
e.biopsy and ct head and neck
