entomology by Dr Cinitia Flashcards
Rinne Test CLINICAL FEATURES
AC>BC: Normal, SNHL BC>AC: Conductive
Weber Test CLINICAL FEATURES
Conductive: Louder in Deaf Ear Sensorineural: Louder in Better Ear
Deafness in Elderly CLINICAL FEATURES
Presbycusis: Loss of high frequencies (F, S sound)
Deafness in Children CLINICAL FEATURES
Hearing loss: 1/1000 SNHL: 2/1000
Deafness in Children FIRST INVESTIGATION
Screening at 8m-1y, and school entry
Deafness in Children BEST INVESTIGATION
<4yo: Tympanometry
>4yo Audiometry
Otosclerosis CLINICAL FEATURES
AD, progressive, pregnancy, conductive hearing loss with normal TM, too many scars
Otosclerosis TREATMENT
- Refer - Stapedectomy
Meniere’s dx CLINICAL FEATURES
Vertigo, hearing loss, tinnitus,
Meniere’s dx TREATMENT (3)
1.Prochlorperazine or urea crystal
2.Diazepam
3.Low salt diet (Main one for long term)
Labyrinthitis CLINICAL FEATURES
Vertigo, hearing loss, tinnitus, previous viral inf.
Labyrinthitis TREATMENT (2)
- Prochlorperazine
- Diazepam
Acoustic Neuroma CLINICAL FEATURES
Vertigo, hearing loss, tinnitus, diplopia, ataxia
Acoustic Neuroma TREATMENT (2)
- Observation (grows slowly)
- Surgery
BPPV CLINICAL FEATURES
Vertigo, no hearing loss or tinnitus
BPPV BEST INVESTIGATION
Positive Hallpike Test
BPPV TREATMENT (2)
- Reassurance
- Epley Manoeuvre
Foreign Body in nose CLINICAL FEATURES
Unilateral nasal discharge
Foreign Body in nose BEST INVESTIGATION
Nasal examination under general anaesthesia