Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Head and Neck > Lecture 13 ENT Paediatrics > Flashcards

Lecture 13 ENT Paediatrics Flashcards

1
Q

Otology disease history

A 
•	Ear symptoms
o	Pain
o	Discharge
o	Loss of function – hearing loss, dizziness, tinnitus
•	Speech development, school performance
•	Behavioural problems
•	Maternal perinatal infections
•	Delivery issues (prematurity, anoxia)
•	Neonatal infections, drugs, jaundice
•	Growth, immunisations, passive smoking, breast vs bottle feeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Otology Examination

A

Auriscope
Subjective assessment
Objective assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Risk factors of Otitis media with effusion/glue ear

A

 Day care, smoking, cleft palate, down syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Symptoms of Otitis media with effusion/glue ear

A 
◦	Hearing loss
◦	Speech delay
◦	Behavioural problems
◦	Academic decline
◦	Imbalance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Signs of the symptoms of Otitis media with effusion/glue ear

A

Dull T
Fluid level- cone of light not visible
Bubbles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Aetiology of Otitis media with effusion/glue ear

A

Eustachian tube defect

Adenoidal hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treatment of Otitis Media

A

◦ Auto-inflation- pressure auto-inflation of eustachian tube and move contents inside middle ear
◦ Grommet- 6 months-ear helps aerate the ear
◦ BAHA- bone anchored hearing aid
◦ Cochlear implant- congenital hearing loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A child presents with painful discharge from ear what could they have

A

Otitis externa (inflammation of outer ear)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Treatment of otitis externa

A

◦ Aural microsuction- if child is systemically unwell
◦ Topical antibiotics
◦ Water precautions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What condition is when the fluid inside the middle ear becomes infected

A

Acute otitis media

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What organisms are responsible for acute otitis media

A

 Haemophilus influenza, strep pneumonia, Moraxella catarrhalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How is acute otitis media treated

A

Antibiotics- co-amoxiclav (orak)

Grommet and adenoidectomy if recurrent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What investigation is used for chronic otitis media, Cholesetatoma

A

CT scan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the treatment for Cholesteatoma

A

Mastoidectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are common symptoms of rhinology diseases

A
  • Blocked nose
  • Runny nose
  • Sneezing
  • Reduced sense of smell
  • Facial pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If a child presents with large adenoids what should you also check for

A

Sleep apnoea

17
Q

What foreign body in the nose is an emergecy

A

Batteries- can perforate septum

18
Q

What disease is sinusitis and polyps closely associated with

A

Cystic fibrosis

19
Q

When does acute sinusitis become chronic

A

If it persists longer than 12 weeks

20
Q

What does choanal atresia present with

A

Cyanosis

21
Q

Where does epistaxis occur and why

A

Little’s (Kisselbach’s) area- anastomosis of all the arteries that supply the nose

22
Q

What is the management of epistaxis

A 
First aid- pinch soft part of nose
	Antibiotic ointments
	NASEPTIN
	BACTROBAN				
	 Cautery
	Silver Nitrate under LA
	Diathermy under GA
	Nasal packing- contains a balloon to act as a pressure dressing
23
Q

Symptoms of diseases involved in laryngology

A
  • Sore throat
  • Airway issues
  • Hoarseness
  • Dysphagia
24
Q

What would you look at during laryngology examination

A
  • Tonsils
  • Uvula
  • Throat
  • Neck
  • Ears and Nose
25
Q

What is the cause of Tonsillitis

A

• Bacterial (b haem Strep B) or viral (EBV) (majority and self-limiting)

26
Q

What are the complications of tonsillitis

A

Glomerulonephritis

Peritonsillar abscess- infection moves beyond the tonsil and swelling of the soft palate

27
Q

Anatomy and physiology of tile with airway issues

A
  • Large tongue
  • Large tonsils
  • Large/Floppy epiglottis
  • Short neck
  • Sub glottis narrowest
28
Q

Differential diagnosis for neck lumps

A
  • Thyroglossal Duct Cyst
  • Branchial Cyst
  • Cystic Hygroma
  • Cervical Lymphadenopathy

Head and Neck (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions