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Tri 6 - Phys Dx (Tom) > ENT's > Flashcards

ENT's Flashcards

1
Q

Inspect Outer ear for

A

discharge and tophi

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2
Q

Otoscopic exam of Canals for

A
  • Cerumen
  • Discharge
  • Redness
  • Foreign bodies
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3
Q

view Tympanum for

A
  • Color
  • Bony Land Marks
  • Light Reflex
  • Bulging/Retraction
  • Effusion/Air bubbles
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4
Q

Observe Nares for

A
  • Septum / Deformity
  • Discharge
  • Mucosa
  • Polyps
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5
Q
  • Itching
  • Redness outer canal
  • Ear canal swelling & drainage is possible
  • Painful
A

Otitis Externa

Swimmers ear

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6
Q

Air absorbed with transudate entering middle ear

A

Eustachian dysfunction

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7
Q
  • Eustachian dysfunction:
  • Collection of serous, mucoid, purulent with membrane intact
  • Common in infants (6 months-3 years)
  • ‘Non infected’ serous fluid *
A

Otitis Media with Effusion

AKA: Serous Otitis Media, Secretory Otitis Media

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8
Q

Sticking, Crackling, Discomfort and fullness

A

Otitis Media with Effusion

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9
Q
  • Membrane / fluid yellowish *
  • Ossicles more pronounced *
  • Fluid behind tympanum (effusion) *
  • Air fluid level or bubbles *
  • Distorted light reflex
  • Hearing loss possible
  • Limited tympanum mobility
A

Otitis Media with Effusion

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10
Q 
- Absence of acute
symptoms
- Retraction of
Membrane
- Air bubbles / fluid line
- No sign inflammation of
tympanum
A

serous otitis media (effusion)

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11
Q
  • Abrupt onset
  • Sensation of blockage
  • Tugging ear lobe
  • Deep internal aching
  • Fever, nausea possible
A

Acute Otitis Media

Suppurative Otitis Media

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12
Q
  • Hearing Loss possible
  • Discharge possible (with tympanic rupture)
  • Tympanum erythema *
  • tympanum *
  • Distorted light reflex
  • Tympanum mobility limited
A

Acute Otitis Media

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13
Q

• Moderate- Severe bulging of Membrane

A

Acute Otitis Media

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14
Q
  • Mild bulging tympanum
  • Recent on set pain symptoms
  • Erythema of tympanum
A

Acute Otitis Media

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15
Q

Often due to some type

of trauma

A

Tympanic

Perforation

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16
Q

involving only tympanic membrane

Hearing loss unusual

A

Myringosclerosis

17
Q

involving tympanum & ossicle chain

(Possible hearing loss)

A

Tympanosclerosis

18
Q

Ossicles change to immature spongy bone

A

Degenerative Otosclerosis

19
Q

Otosclerosis is most common conductive loss in young adults,

A

18-40 yrs.

20
Q

• Triggers for APHTHOUS ULCERS include

A
  • infection
  • hormones
  • stress
  • Vitamin Deficient.
21
Q

Filiform Papillae atrophy
(Smooth, glossy appearance
with red or pink background)

A

Atrophic Glossitis

22
Q

Geographic Tongue, aka

A

Benign Migratory

Glossitis

23
Q 
- Irregularly shaped
erythematous patches.
- Atrophy: filiform papillae
- Concentrated on tip &
lateral borders of tongue
- White borders
A

Geographic Tongue

24
Q

Thickened white patches on gums, cheeks, sometimes

tongue

A

Leukoplakia

25
Q

Leukoplakia is usually the result of

A

chronic

irritation

26
Q

Inflammation of mucous membranes (Cheek,

Tongue, Palate, Gingiva)

A

Oral Lichen

Planus

27
Q
  • Whitish streaks, lacy , reticular pattern
  • Change in taste -
    sensitivity to hot-cold spicy foods
A

Oral Lichen

Planus

28
Q

Creamy white lesions on

tongue or inner cheeks that may be painful. (Cottage Cheese appearance)

A

Oral Thrush

29
Q
  • Fever (abobe 101.5°F)
  • Tonsillopharyngeal erythema/exudate
  • Swollen tender anterior
    cervical adenopathy
  • Headache
  • Emesis
  • Palatal petechiae
  • Difficult swallowing*
A

STREP

30
Q
  • Fever, sore throat, and malaise.
  • Pharyngeal injection / exudates.
  • Posterior cervical lymphadenopathy
  • Hepatosplenomegaly
A

Infectious

Mononucleosis

31
Q

Duct for parotid gland, Adjacent to 2nd maxillary molar

A

Stensen’s duct

32
Q

duct for submandibuar Gland opening adjacent to frenulum

A

Wharton’s duct

33
Q

Sublingual is under the

A

tongue

34
Q
  • Headaches when wake up
  • Aggravated bending forward
  • Tenderness to touch
  • Nasal drainage / postnasal drip
A

Sinusitis

35
Q

sinus referral patterns

A
  • Maxilla: Cheek
  • Frontal: Forehead
  • Ethmoid: Upper face & retro orbital
  • Sphenoid: Top of head or Occiput area

Tri 6 - Phys Dx (Tom) (18 decks)

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