Otolaryngology - Ears Flashcards

1
Q

sudden attack, pain and distention inside ear, or ear ringing (like machine/wind sounds), better after yawning, sneezing, or blowing nose, decreased hearing
fever, aversion to cold, stuffy nose, nasal discharge, cough, coughing out sputum, headache
t: thin coating
p: floating

A

distention in ear (deafness)

wind attacking ear

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2
Q

distention and plugged feeling of ear, or ear ringing (like machine/wind sounds), better after yawning, sneezing, or blowing nose, decreased hearing, headache, dizziness
cough w/ phlegm, chest and epigastric oppression
t: white-greasy coating
p: soggy, slippery

otoscopic findings: opacification of ear drum, exudate

A

distention in ear (deafness)
phlegm turbidity accumulation

can be diagnosed as LV-GB damp-heat if tongue is red w/ yellow-greasy coating

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3
Q

severe plugged feeling of ear, low pitch ear ringing, obvious decreased hearing or deafness
dry throat, dry tongue, dizziness, blurred vision, low back and knee soreness, five centre heat, seminal emission, impotence, irregular menstruation
t: red w/ little and dry coating
p: thready-rapid

A

distention in ear (deafness)

LV-KD yin xu

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4
Q

acute attack, sharp distending pain deep inside ear
headache, ear ringing, hearing loss, fever, red face adn ears, yellow urine
t: red w/ yellow coating
p: wiry-rapid

examination: congestion or rupture of TM, ear effusion

A

pain and discharge in ear (suppurative otitis media)

LV-GB fire

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5
Q

long duration, ear effusion, large amount of clear discharge
sallow yellow facial complexion, fatigue, poor appetite, loose stool
t: pink w/ white greasy coating
p: thready-weak

examination: TM perforation

A

pain and discharge in ear (suppurative otitis media)

SP xu, dampness obstructing inside

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6
Q

long duration, ear effusion, large amount, turbid discharge w/ bad smell, hearing loss
fatigue, headache, dizziness, low back and knee soreness
t: red w/ little coating
p: thready-rapid

CT: destruction of temporal bone

A

pain and discharge in ear (suppurative otitis media)

KD yin xu

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7
Q

sudden hearing loss
stuffy nose, running nose, headache, ear fullness or plugged ear, aversion to cold, fever, body ache
t: thin white coating
p: floating

A

sudden deafness

exterior wind attack

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8
Q

sudden hearing loss after emotional stress, anger, or depression
headache, bitter taste, dry mouth and throat, constipation, yellow urine, red face and eyes, irritability
t: red w/ yellow coating
p: wiry-rapid

A

sudden deafness

LV-GB fire ascending upward

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9
Q

sudden hearing loss
plugged ear, ear ringing, ear pain
t: dull red (purplish)
p: choppy

A

sudden deafness

qi-blood stagnation

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10
Q

sudden tinnitus after anger, or tinnitus getting worse after anger, high pitch ringing, ear distention and pain, sometimes better, sometimes worse
headache, dizziness, bitter taste, dry mouth, irritability, hypochondriac pain
t: red w/ yellow greasy coating
p: wiry-rapid

A

tinnitus

LV fire harassing upward

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11
Q

sudden tinnitus, high pitch ringing, plugged ears
heavy distending headache, dizziness, chest oppression, lots of phlegm in throat
p: red w/ yellow greasy coating
p: slippery-rapid

A

tinnitus

phlegm-fire accumulation

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12
Q

chronic tinnitus, low pitch ringing for whole day, worse at night, worse every year, or worse after insomnia or overstrain
dizziness, blurred vision, irritability, insomnia, low back/knee soreness, red cheeks, hot flashes
t: red w/ little coating
p: thready-rapid

A

tinnitus

KD essence xu

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13
Q

chronic tinnitus, low pitch ringing for whole day, empty feeling inside ear, or getting worse after overstrain
sallow yellow complexion, fatigue, poor appetite
t: pale white coating
p: soggy, weak, thready

A

tinnitus

SP-ST xu

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