ENT Signs and Sx

Question 1

Weber Test
sound localized to R ear

Rinne Test

Bone better than air means

Answer 1

Lateralization (should be heard midline)
Could be R sided conductive or L sided sensorineural hearing loss

Compare sound conduction of air/bone
Normal air>bone

Ipsilateral conductive hearing loss

Question 2

Sinus Transillumination

Malignant lymph nodes

Answer 2

Opacified sinus does not transilluminate well
Useful in excluding maxillary sinusitis

Rock hard, fixed

Question 3

Keloid

Relapsing polychondritis

Ramsay Hunt syndrome

Answer 3

Exuberant scar formation following skin trauma

Inflamed external ear

ZV of geniculate ganglion with CN7 palsy

Question 4

Serous otitis media

Purulent OM

Answer 4

Ear popping and fullness

Children, can present with mastoidits

Question 5

Nasal cavity polyps

Symptoms via

Concomitant condition

Answer 5

Soft, jelly-like overgrowths produced in patients with sinus inflammation (Allergic rhinitis)

Obstruction (sinusitis)

Asthma

Question 6

Acute sinusitis

Symptoms

Exam

Complications

Answer 6

Sinus ostia obstruction (Nasal polyp)

Facial/maxillary tooth tenderness, sinus congestion

F/M tooth pain, abnormal transillumination

Periorbital cellulitis, meningitis, subdural empyema, CST

Question 7

Oral cancer

Answer 7

usually SCC (related to tobacco use, HPV, alcohol)

Question 8

Tongue coating other causes

Answer 8

Inflamed papillae
Dry mouth (Mouth breathing)
IV volume depletion (shock)
Smoking/tobacco

Question 9

Candidiasis

Predisposing conditions

Pain if it spreads to

Answer 9

painless white plaque of tongue/palate

Difficult to scrape

Steroids, diabetes, IC

Pharynx and esophagus