More ENT

Question 1

History taking for facial swelling (7)

Answer 1

1- Allergies
2- Bug bite
3- How fast it progressed.
4- Signs of infection (pain?)
5-Trauma
6- Medication
7- Worse with chewing?

Question 2

Red flag for facial swelling. (2)

Answer 2

1-Airway distress.
2- Swelling under tongue.

Question 3

Ddx for preauricular swelling (6)

Answer 3

1- Parotitis
2- Dental abcess.
3- Mumps
4- Tempromandibular issue.
5- Tumor salivary gland
6- Preauricular cyst.

Question 4

Treatment for parotitis.(3 non pharmaceutical and 1 pharmaceutical)

Answer 4

1- Amoxicillin-clavulanate 875mg BID x 10 days for adults
2- Activate salivary glands (sour candy)
3- Hot compresses.
4- Massage glands.

Question 5

Life threatening swelling under tongue.

Answer 5

Ludwig angina.

Question 6

If you’re looking for allergic rhinitis. What are the pediatric signs you can observe on physical exam? (4)

Answer 6

1- Dennie morgan lines (Under eyes)
2- Allergic shiner (bags under eyes)
3- Nasal crease
4- Open mouth with recessed lower jaw

Question 7

Few Ddx for rhinitis (5)

Answer 7

1- Chronic rhinosinusitis
2- Allergic rhinitis
3- Chronic non allergic rhinitis
4- Acute viral or bacterial Rhinosinusitis
5- Rhinitis medicamentosa

Question 8

Hot hot potato voice indicator of what?
And what would you do with it?

Answer 8

Peritonsilar abcess.
Send to ER because can construct airway.

Question 9

Red flags for pharyngeal pain. (5)

Answer 9

1- Dyspnea, stridor (pritonsillar abscess
2- Spit saliva out/drooling (PTA or epiglottitis)
3- Deviated uvula (PTA)
4- Muffled (hot potato voice) or hoarse voice (PTA or pipiglottitis)
5- Trismus (Can’t open mouth) (sign of deep space infection)