Otology Flashcards
What are the possible symptoms of otological pathology?
Hearing loss Tinnitus Vertigo Otalgia Otorrhoea Facial weakness
What is the pathology of tinnitus?
No direct treatable pathology in the vast majority
What is the treatment of tinnitus?
Sound enrichment
Stress management
What is the differential diagnosis of vertigo?
Benign positional vertigo
Meniere’s disease
Vestibular neuritis
Migraine
What history should be taken for vertigo?
Duration
Frequency
Associated symptoms
Precipitating factors
What examinations can be carried out for otological pathology?
Otoscope
Microscope
Tuning fork tests
Whispered voice test
What are the types of tuning fork tests?
Rinne’s
Weber’s
What is the Rinne’s test?
Tuning fork placed in front of ear and on bone and asked which is louder
What would the result of the Rinne’s test be in conductive hearing loss?
Bone>air
What would the result of the Rinne’s test be in sensorineural hearing loss?
Air>bone
What is the Weber’s test?
Tuning fork placed in centre of forehead and patient asked which side it is heard louder
What would the result of the Weber’s test be in sensorineural hearing loss?
Heart louder in opposite ear
What would the result of the Weber’s test be in conductive hearing loss?
Heard louder in blocked ear
What is a type B result in tympanometry?
Tymanic membrane immobile
What is a type C result in tympanometry?
Middle ear pressure low
What are the types of outer ear pathology?
Auricular haematoma
Otitis externa
Malignancy otitis externa
What is otitis externa?
Inflammation of ear canal
What are the symptoms of otitis externa?
Itching, pain, discharge, debris shed into ear canal
What is the treatment of otitis externa?
Topical treatment