ENT pathology Flashcards

(40 cards)

1
Q

What is the most common cause of epistaxis

A

Digital manipulation

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2
Q

Where is the most common place for epistaxis

A

Anterior aspect

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3
Q

What vessel typically bleeds with posterior nose bleeds

A

sphenopalentine branch of the maxillary artery

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4
Q

What causes a septal hematoma

A

bleeding between the perichondrium and cartilage of the septum - generally post trauma

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5
Q

What can a septal hematoma lead to

A

septal necrosis which will cause a saddle nose deformity

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6
Q

What are the most common causes of rhinitis

A

allergies
atrophic
pregnancy
occupational

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7
Q

What can cause non-allergic rhinitis

A

spicy food
temperature
smoke
strong smells

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8
Q

What is the most common cause of orbital cellulitis

A

ethmoid sinus

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9
Q

What is the timeframe for acute sinusitis

A

sudden onset that lasts <4wk

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10
Q

What is the timeframe for subacute sinusitis

A

<12wks but longer than acute phase

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11
Q

What is recurrent sinusitis

A

4+ episodes that last at least 1wk in a year

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12
Q

When do you treat sinusitis

A

after 2 weeks

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13
Q

What is the most common cause of sinusitis

A

viral URI

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14
Q

What is an Aphthous ulcers

A

canker sores

*shallow, round ulcer with central yellow exudate

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15
Q

What can cause canker sores

A

can be associated with celiac disease, IBS, HIV, SLE, neutropenia and local trauma

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16
Q

What type of cells are found within pre-ulcers

A

macrophages
lymphocytes

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17
Q

What type of cells can be seen within ulcers

A

neutrophils centrally
lymphocytes in raised ring

18
Q

When do aphthous ulcers present

A

during times of stress

can also be due to malnutrition

19
Q

What do you have to consider if adults get recurrent thrush

A

Immunocompromised
-HIV
-inhaled corticosteroids

20
Q

What is the most common cause of pharyngitis

A

bacterial / viral infection

21
Q

What is acute laryngitis

A

larynx inflammation <3wks

22
Q

If laryngitis is bacterial, what is the cause

A

moraxella, H. influenza, S. pneumonia

23
Q

What is the most common organism that causes epiglottis

24
Q

What breathing sound will be heard with epiglottitis

25
What is the epiglottitis triad
drooling dysphagia Distress
26
What is a peritonsillar abscess
suppurative deep space infection of the neck *Pus collection between the palatine tonsils and pharyngeal muscles
27
What is the presentation of a peritonsillar abscess
Unilateral peritonsillar swelling with uvula displacement *hot potato voice
28
What will increase a persons risk for peritonsillar abscess
smoking
29
Which tonsils are most commonly effected with peritonsillar abscess
Palantine and typically on the superior aspect
30
What are the major salivary glands
parotid submandibular sublingual
31
What is saliva necessary for
healthy dentition mastication tasting food
32
What is Sialadenitis
Swelling of salivary glands
33
What causes sialadentitis
obstruction
34
What happens when salivary glands become infected
overlying skin will likely be erythematous and warm w/ purulent discharge from the ductal orifice
35
What are causes of chronic sialadentitis
Tumor Polycystic parotid disease (pseudoneoplastic disease)
36
What is stensens duct orifice
parotid duct
37
What is sialolithiasis
obstructive salivary stone *most common cause of sialadentitis
38
When will the pain increase with sialolithiasis
after eating
39
What is the presentation of someone with infectious sialadentitis
Fever pain erythema purulent saliva
40
What is the cause of bacterial sialadentitis
S. aureus