otologic pathologies

Question 1

main pathogens of otitis externa; tx

Answer 1

strep spp. but esp pseudomonas; topical floroquinolones

Question 2

osteomas and exostosis

Answer 2

pedunculated and single; broad based and multiple

Question 3

otitis media tx

Answer 3

strep pneumo antibiotics (topical fluoroquinolones). recurrent: PE tubes

Question 4

serous otitis media: when? tx?

Answer 4

after cold or resolving OM. usually benign but may need drainage

Question 5

risk factors for OM with tympanostomy tubes

Answer 5

water exposure, ALLERGIES???

Question 6

cholesteatoma: tx, complications

Answer 6

ct scan. almost always surgery. eats away at bone. Can lead to labrynthine fistula

Question 7

most common middle ear neoplasm, symptoms

Answer 7

glomus tympanicum. pulsatile tinnitus

Question 8

otosclerosis: what is it? loss of what?

Answer 8

new bone around stapes, stapedial fixation, loss of low frequency hearing and stapes reflex.

Question 9

tx of otosclerosis

Answer 9

stapedectomy with prosthetic except in TM perforation, meineers dz, only hearing ear. In that case do hearing aid

Question 10

sudden hearing loss: etiology, tx

Answer 10

inflammation from infection/trauma. Give steroids.

Question 11

acoustic neuromas: presentation, tx

Answer 11

assymmetric HL and tinnitus. observation. surgery if necessary

Question 12

glomus jugulare

Answer 12

tumor around jugular foramen. benign

Question 13

Meniere’s dz: symptoms, cause, tx

Answer 13

episodic vertigo, fluctuating HL, tinnitus, aural fullness. Endolymphatic hydrops. Low salt diet, diuretics