ENT/Max Fax/Plastics/Opthal Flashcards
3 Ds of epiglotitis
Drooling, dysphagia and distress
Most common organisms causing epiglottitis
Streptococcus spp.
(Used to be H.influenzae prior to vaccine)
Immediate management of epiglottitis
Keep calm
DON’T EXAMINE THROAT
Oxygen
Nebulised adrenalne
Consider IV cefotaxime or ceftriaxone
Differentiate meniere’s disease and labrynthitits
People with meniere’s have a feeling of ‘fullness’ in their ear
What should be considered if a presentation of croup doesn’t respond to tx
Bacterial tracheitis
CFS rhinnorhea marker
Tau protein / Beta-2 transferrin
Which muscle is most likely damaged in an orbital floor #
What visual change does the impairement cause?
Inferior rectus - causing blurred vision on looking up
Antibiotics for dental abscess
If systemically ok but immunocompromised
If severe / spreading
- Penicillin
- Metronidazole
Le fort 1
of anteorlateral nasal fossa margin
(horizontal fracture)
Le fort 2
Inferior orbital rim involvement
Pyramidal shape #
Top is the naso frontal area but then extends down
Le fort 3
zygomatic arch involvement
Horizontal but starts at nasal frontal area and extends across the orbital walls to the zygoma
Complicated crown # =
Fracture that extends into the dental pulp of the tooth
Fever pain score
Fever in last 24 hours
Purulence
Attend rapidly under 3 days
Inflamed tonsils
No cough or coyza
Common cause of bacterial tracheitis
Staph areus
First steps in assessing tracheostomy patency?
Remove speaking valve / cap
And then any inner tubes
Then try and pass a suction catheter
Then deflate cuff, look/listen/feel
In what cases are oral abx given AOM in adults?
Don’t need admission to hospital but are systemically unwell or have risk factors for complications
Most common organism causing AOM and therefore mastoditis
Strep pneumoniae
Treatment for mastoiditis
Admit.
Brad spec abx - cef. & met