Otic

Question 1

Who is mainly impacted by earwax?

Answer 1

Seniors and children

Question 2

What can cause earwax impactions?

Answer 2

Q-tips
Hearing devices - minor cause

Question 3

When to refer someone with ear issues?

Answer 3

Pain, dizziness, tinnitus
**Signs of vertigo

Question 4

Symptoms of earwax

Answer 4

Less earring ability
Constant ringing noise
Cough
Dizziness
Pain in ear

Question 5

Treatments for earwax removal

Answer 5

Nasal aspirator - 50/50 chance of working
Ear syringe

Question 6

How does an ear syringe work?

Answer 6

Warm water goes into the device which is used to flush out earwax
Creates a gentle stream of water

Question 7

What are some earwax softeners?

Answer 7

Mineral oil
Vegetable oil
Hydrogen peroxide - not that great

Question 8

What are the earwax softener products?

Answer 8

Cerumol
Murine
Errol
Saline earigate
Earigate earwax solution
Clinere
Ear candling

Question 9

Cerumol

Answer 9

Contains peanut oil
5 drops into ear canal -> apply cotton ball
Remove cotton ball in 1 hour or next morning
BID-TID

Question 10

Murine

Answer 10

Carbamide peroxide
5-10 drops into ear canal BID- QID

Question 11

Earol

Answer 11

Olive oil

Question 12

Salinex earigate

Answer 12

“Claims to get behind the ear”

Question 13

Earigate earwax solution

Answer 13

Typical earwax softener

Question 14

Clinere

Answer 14

Earwax scoop
Just as good as q-tip

Question 15

Ear candling

Answer 15

Put hollow candle into ear and light it - dumb

Question 16

Ear infections

Answer 16

Otitis media
Otitis externa

Question 17

What is otitis media?

Answer 17

Infection behind the eardrum

Question 18

What is otitis externa?

Answer 18

Pulling the tragus is painful

Question 19

What causes otitis externa?

Answer 19

Staying in water with chlorine changes pH in ear canal

Question 20

Treatments for otitis externa

Answer 20

Polysporin pink eye
Polysporin ear
CiproDex
Locacorten Vioform
Auro Dri

Question 21

Polysporin pink eye

Answer 21

2 antibiotics (gram - and +)
Less acidic

Question 22

Polysporin ear

Answer 22

1 antibiotic (gram -)
Lidocaine for pain relief
More acidic

Question 23

CiproDex and Locacorten Vioform

Answer 23

MD only

Question 24

Auro DRI

Answer 24

Drying agent used after swimming
Isopropyl alcohol 95% + glycerin 5%
Preventative&raquo_space;> treatment

Question 25

What is the homemade treatment for otitis externa?

Answer 25

50% rubbing alcohol + 50% vinegar Just as good as Polysporin or MD prescribing

Question 26

Treatment to equalize middle ear pressure

Answer 26

Oral decongestants Swallow reflex / gum-chewing / yawning / opening mouth Toynbee maneuver - plugging nose and swallowing

Question 27

Busted eardrum

Answer 27

Takes 6-8 weeks to heal Sharp pain occurs Tx: earplanes to help prevent

Question 28

Cause of earaches

Answer 28

Ear infection, changes in air pressure, earwax build up Less common: TMJ

Question 29

Treatment for ear aches

Answer 29

Auralgan ear drops - benzocaine and antipyrine Oral analgesics probably better