Midterm - ear images (beck) Flashcards
What is this caused by and what’s happening anatomically
Blunt trauma; blood collects between cartilage and perichondrium
Name this
Auricular hematoma (cauliflower ear)
Name this
Gouty tophi
Describe what’s happening anatomically
And what might show up in their history?
Hard, nontender or mildly tender nodules. Deposition of monosodium urate crystals.
history of painful monoarticular arthritis
What is this?
Frostbite
Describe the mechanism/anatomy and possible tx
Initially skin blanches, then appears whitish and waxy. Loss of sensation.
tx: rewarm ear to decrease necrosis
What is this?
Basal cell carcinoma
Pearly or translucent lesions with telangiectasias and central ulceration. Usually localized.
Name this
Actinic keratosis
discrete, dry, rough, adherent scaly lesions. Occurs on habitually sun-exposed skin. Precancerous leads to… squamous cell carcinoma.
Name this
Squamous cell carcinoma
non-healing ulcer with raised edges. Occasionally metastasized, higher risk on ear.
What is this thick discharge called?
What’s blocking the ear canal and what is the proper tx?
Cerumen Impaction
Tx: manual removal, softening agents, irrigation
What is this?
Exostosus
new bone growth in bony part of the isthmus.
Is Exostosus [benign/malignant] and who is most at risk?
Usually benign. Asymptomatic. Obviously if its large it may impact hearing.
Often acquired from chronic cold water “surfer’s ear”
What is this? What is this usually a result of?
ear drum perforation
results from purulent infection of middle ear or trauma to ear
What management do you do for a patient with ear drum performation?
AVOID water in the ear.
if severe hearing loss, refer to ENT.
if not healed within a few weeks, refer to ENT.
If you’re looking in an ear and you see dense white patches, what might it be?
Tympanosclerosis
What is happening physiologically with tympanosclerosis?
scarring/calcium deposition within the layers of the TM
What is this?
Ramsay Hunt Syndrome AKA Herpes Zoster Oticus
Describe Ramsay Hunt Syndrome AKA Herpes Zoster Oticus and Tx
Acute facial neuropathy associated with erythematous vesicular rash of the skin of the ear canal and pinna. AKA shingles of the ear
Tx: anti-viral medicine.
Describe bullous myringitis and Tx. Is it painful/painless?
form of otitis externa with bullous (blister) and hemorrhagic lesions in the deep external canal
Severe otalgia
Tx: self limiting
