Otolaryngology Flashcards
BPPV
seconds in duration
positional change
Meniere’s disease
min to hr in duration, low freq hearing loss, tinnitus, pressure/full aural feeling
Vestibular neuronitis
hours to days duration
Labyrinthitis
days duration
unilateral, whistling tinnitus, recent AOM
Acoustic neuroma
chronic, progressive, tinnitus, CN VII palsy
Dix-Hallpike signs
1) geotropic rotatory nystagmus
2) fatigues with repeated maneuver
3) reversal of nystagmus upon sitting
4) 20 sec latency
5) crescendo/decrescendo vertigo for 20 sec
Rhinitis organism
klebsiella, rhinovirus, influ, parainflu, S. aureus, TB, syphilis, leprosy
Rhinosinusitis organism
rhinovirus, influ, parainflu
S. pneumoniae, H. influ, M. catarrhalis, anaerobe (Dental)
Otitis media Tx
Ciprofloxacin for pseudomonas, streptococci, MRSA, gram neg
Chronic suppurative otitis media Tx
tobramycin and dexamethasone
Otitis externa Tx
hydrocortisone and acetic acid
neomycin, polymyxin B sulfate, hydrocortisone
Rhinocort
steroid
budesonide
allergic rhinitis, chronic rhinosinusitis
Nasacort
steroid
triamcinolonoe
allergic rhinitis, chronic rhinosinusitis
Beconase
steroid
beclomethasone
allergic rhinitis, chronic rhinosinusitis
Nasonex
steroid
monohydrate
allergic rhinitis, chronic rhinosinusitis