Exam 2: Head And Neck Flashcards
Elongated tube, dull retracted & white tympanic membrane, sensorineural hearing loss.
Normal aging process
Chronic inflammatory lesion turns to an ulcer (biopsy to rule out carcinoma) (Add pic)
Chondrodermatitis Helicis
Deposit of uric acid crystals (characteristic of chronic gout) (add pic)
Tophi
Hole in eardrum with thin transparent membranes covering the perforation. Indication of chronic infection
Perforation of tympanic membrane
Scarring process of the middle ear from otitis media
Tympanosclerosis
Caused by bacterial infection (S. pneumonia or H. influenzae). Symptoms: earache, fever, or hearing loss. Eardrum reddens, loses its landmarks, and bulges laterally. Erythematous bulging tympanic membrane w/ yellow mucoid effusion & absent light reflex, may have diminished movement.
Acute Otitis Media (AOM)
Caused by viral upper respiratory infection (otitis media w/ serous effusion) or sudden changes in atomspheric pressure (flying or diving). Amber fluid behind the eardrum is characteristic. Fullness and popping sensation in the ear.
Serous effusion
Swollen, narrow, moist, pale and tender canal (may be reddened)
Acute Otitis Externa (AOE) or swimmer’s ear
AAP recommends screening for?
All children under 4. Hearing screening also at birth.
Pneumatic Scope
if tympanic membrane fails to move- likely a middle ear effusion.
Preauricular anomalies (tag or pit). check for what?
Renal issues
painful hemorrhagic vessels on tympanic membrane and/or ear canal. Blood tinged discharge & conductive hearing loss. Caused by mycoplasma, viral & bacterial otitis media
Bullous Myringitis
When nasal mucosa is pale, bluish, and boggy
Allergic rhinitis
When nasal mucusa is red and swollen.
Viral rhinitis
pale sac-like growths that can obstruct air passages. seen in allergic rhinitis, chronic sinusitis, asthma, and CF
polyps
