Otalgia

Question 0

Which bone is visible behind the tympanic membrane?

Answer 0

Malleus (the handle of)

Question 1

What are the 5 mains conditions affecting the ear?

Answer 1

Otorrhoea
Otalgia
Hearing
Tinnitus
Vertigo

Question 2

What is the ring of tissue around the tympanic membrane?

Answer 2

The annulus

Question 3

What is ‘Glue ear’?

Answer 3

Chronic otitis media, causing mucus accumulation behind a thickened, opaque tympanic membrane.

Question 4

The best way to remove a cockroach?

Answer 4

Drown it in oil

less thrashing than using water

Question 5

Complication of aspergillis infection

Answer 5

Can erode tympanic membrane

Question 6

Describe patho genesis of a cholesteatoma

Answer 6

Can arise from a ruptured pars flaccida (weaker superior portion of tympanic membrane above handle of malleus)
Invaginated membrane filled with keratin
Can progress and affect hearing

Question 7

Red flag: Elderly person with otalgia and normal ear exam is…

Answer 7

Cancer until proven otherwise!

Question 8

Most likely diagnosis in children?

Answer 8

Infection

Question 9

Top 3 diagnoses in young adult?

Answer 9

Trauma/degenerative
Infectious (inc. cholesteatoma)
Neoplastic

Question 10

Top 3 Diagnoses in older patient? (60+)

Answer 10

Neoplasm
Infection
Degenerative

Question 11

Important differential of otalgia in teens/young adult?

Answer 11

Referred pain from wisdom teeth (and vice versa!)