Otalgia Flashcards
symptoms otitis externa
minimal discharge, itch, pain, tragal tenderness
what can cause otitis externa
moisture, high humidity, trauma, absence of wax, narrow canal, hearing aids
what organism is implicated in otitis externa
pseudomonas, staph aureus
complications otitis externa
hearing loss, canal stenosis
treat otitis externa
aural toilet- clean auditory meatus. if severe- thin pope wick inserted and hydrate with ear drops- sofradex
what should you be worried about it unilateral persistent otitis media in diabetics, immunosuppressed, elderly
risk of malignant/necrotising otitis externa
what should you be worried about if otitis externa is resistant to treatment
sign of malignancy- do a biopsy
what is furunculosis
very painful. staph aureus abscess arising from hair follicle
what is bullous myringitis
very painful. haemorrhagic blisters on deep meatal skin and drum. assoc with influenza.
what is barotrauma
if Eustachian tube is occluded (inflam, infection) then middle ear pressure cant be equalised- during descent aircraft, diving
what is a biopsychosocial cause of otalgia
temperomandibular dysfunction
symptoms TMJ dysfunction
earache, facial pain, joint clicking/popping, teeth grinding, stress
what can malignant/necrotising otitis externa lead to
temporal bone destruction and base of skull osteomyelitis
treatment malignant otitis externa
surgical debridement, systemic antibios, Ig
what are used as ear drops
betametasone
what can over treating with ear drops lead to
fungal infection and would need to use clotrimazole
what nerve refers pain from dental disease and TMJ dysfunction
auriculotemporal nerve (V)
what nerve refers pain in geniculate herpes (ramsay hunt )
sensory branch of facial nerve
what is common post tonsillectomy
otalgia due to CN9 and 10- tympanic branch and auricular branch
what nerve refers pain from soft tissue injury in the neck and cervical spondylosis
great auricular nerve C2,3
what is Ramsay Hunt
herpes zoster oticus. zoster vesicles around ear- in the meatus. geniculate ganglion
treatment ramsay hunt
valaciclovir and prednisolone
symptoms ramsay hunt
acute facial nerve palsy, otalgia, vesicular rash, taste loss ant 2/3 tongue, dry mouth and eyes
