HEENT Flashcards
Most common type of nosebleed
Anterior epistaxis
Excessive epistaxis refractory to packing or pressure
Posterior epistaxis
Most common malignancy in the larynx
Squamous cell carcinoma >90%
Chronic bilateral inflammation of the eyelids
Blepharitis
Acute eyelid granuloma
Hordeolum
Chronic eyelid granuloma
Chalazion
Most aggressive thyroid cancer
Anaplastic carcinoma
Chronic sinusitis at how many weeks
12 weeks
Episodic vertigo with fluctuating hearing loss
Meniere’s Disease
Diagnostic test for BPV
Dix Halpike
Tx maneuver for BPV
Eppley
Tx for Meniere’s disease
Salt restriction and diuretics, benzos only in severe cases
Which class of drugs can cause sensory hearing loss
Loop diuretics
Is leukoplakia cancer?
No it is a sign of an immunocompromised state
Etiology of Meniere’s disease
Excessive endolymph in the labyrinth
MIR findings of Meniere’s disease
None, normal MRI
Innervation of CN IV
Superior Oblique (SO)
Damage to CN IV causes
defective downward and inward gaze. SO is rarely injured alone
Innervation of CN VI
Lateral Rectus (LR)
Damage to CN VI causes?
(Esotropia) Inward gaze toward the nose. LR is often damaged alone in trauma. Maximal isotropic when gazing laterally with affected eye
Presentation of laryngeal cancer
Chronic hoarseness and anterior cervical lymphadenopathy.
Presentation of CN III damage
- Downward and temporal gaze
- Ptosis
- Mydriasis (pupil dilation)
Chemotherapeutic agent most likely to cause sensorineural hearing loss
Cisplatin
Sensorineural hearing loss Weber test lateralizes to which side?
Good side
Conductive hearing loss, Weber test lateralizes to which side?
Affected side
Definitive tx for Acute angle closure Glaucoma
Bilateral iridotomy . If occurring in one eye the contralateral is at greater risk, so bilateral is performed
Management for pediatric peritonsilar/ pharyngeal abscess
IV ABX and surgical consult
The outward turning of typically the lower eyelid in older people
Ectropion
- surgical repair if excessive tearing
White, cloudy fluid or pus in the anterior chamber
Hypopion
- Typically follows a fungal infection
Hemorrhage into the anterior chamber
Hyphema
Periauricular adenopathy
Adenovirus
Roseola is which HV
HV 6
Tx for corneal abrasion due to contact lenses
Cipro drops 0.3%
- They cover for pseudomonas
Brief episodic unilateral blindness
Amaurosis Fugax
- Associated with carotid disease
- Tx with ASA
