OTORHINOLARYNGOLOGY Flashcards

1
Q

Rinne (-), lateralisasi sakit (mendekat), memanjang, air-bone gap (+)

A

TULI KONDUKTIF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rinne (+), lateralisasi sehat (menjauh), memendek, air-bone gap (-)

A

TULI SENSORINEURAL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Trauma, ekimosis, fluktuasi, darah (+), komp cauliflower ear

A

OTHEMATOMA

≤2cm (aspirasi), >2cm (insisi drainase), >1wk rujuk, profilaksis levofloxacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Peradangan difus pinna, piercing, nyeri + inflamasi, p. aeruginosa

A

PERIKONDRITIS

Ciprofloxacin 2x 500mg / levofloxacin 1x 750 mg, abses = insisi drainase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lubang abnormal belakang telinga, bisa keluar cairan

A

FISTULA PREAURIKULA

Observasi; Ab + kompres (infeksi), insisi drainase (abses)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Radang 1/3 luar folikel rambut, nyeri tekan/tarik, furunkel (+), MT bisa dinilai, s. aureus

A

OE SIRKUMSKRIPTA

Salep Ab topikal basitrasin/polimixin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Radang 2/3 dalam, nyeri tekan/tarik, MT edema sulit dinilai, p. aeruginosa

A

OE DIFUSA

Tampon Ab ofloxacin/polimixin/neomisin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

OE difusa, nyeri hebat, MT edema, parese CN VII, p. aeruginosa

A

OE MALIGNA

Siprofloksasin 3x 400mg IV / levofloxacin 1x 750mg PO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sangat gatal, newspaper app (aspergillus), cotton wool (candida), KOH 10% hifa bersepta

A

OTOMIKOSIS

Nystatin topikal 100,000 IU (candida), mikonazol 2% salep (aspergillus), ear toilet as asetat 2%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tatalaksana Serumen
1. SERUMEN LUNAK
2. SERUMEN KERAS
3. SERUMEN REFRAKTER
4. SERUMEN DALAM

A
  1. Kapas dililit
  2. Hook/kuret
  3. Karbogliserin 10%/H2O2 3% 3d
  4. Spooling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tatalaksana Benda Asing Telinga
1. CORPUS ALIENUM TELINGA LUNAK (kertas, kapas)
2. CORPUS ALIENUM TELINGA BULAT (biji, batu)
3. CORPUS ALIENUM TELINGA SERANGGA

A
  1. Aligator/bayonet forsep
  2. Ear loop (pengait)
  3. Karbogliserin hingga mati lalu aligator forsep
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

HL progresif bilateral, parakusis wilisi (+) ruang bising membaik, schwarte/pink flamingo sign (+)

A

OTOSKLEROSIS

Stapedektomi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Penebalan MT tapal kuda, HL konduktif

A

TIMPANOSKLEROSIS

ABD; pembedahan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Telinga penuh, glue ear (+), air bubble app (+), disfungsi tuba eustachius

A

OME

Etiologis, dekongestan; miringotomi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Infeksi telinga tengah, s. pneumoniae/h. influenzae, Telinga penuh, demam (-), MT retraksi suram

A

OMA STADIUM OKLUSI

Dekongestan topikal efedrin HCl 1% / oksimetazolin 0.05%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Infeksi telinga tengah, s. pneumoniae/h. influenzae, Otalgia, demam (+), MT hiperemis edema

A

OMA STADIUM HIPEREMIS

Amoksisilin 3x 500mg / eritromisin 4x 500mg / amoxiclav 3x 625mg PO, simtomatis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Infeksi telinga tengah, s. pneumoniae/h. influenzae, Otalgia berat, demam (+), MT buldging

A

OMA STADIUM SUPURASI

Amoksisilin 3x 500mg / eritromisin 4x 500mg / amoxiclav 3x 625mg PO, simtomatis; miringotomi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Infeksi telinga tengah, s. pneumoniae/h. influenzae, Sekret dari telinga, MT perforasi

A

OMA STADIUM PERFORASI

Ear toilet H2O2 3%, Ab oral/tetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Infeksi telinga tengah, s. pneumoniae/h. influenzae, Sekret berkurang, MT mulai menutup

A

OMA STADIUM RESOLUSI

Observasi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Sekret telinga ≥3mo, MT perforasi sentral (pars tensa), tidak busuk, granulasi (-), kolesteatoma (-)

A

OMSK BENIGNA/AMAN

Ear toilet H2O2 3%, ofloxacin 3% topikal, amoksisilin 3x 500mg / ciprofloxacin 2x 500mg; miringo/timpanoplasti (refrakter)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Sekret telinga ≥3mo, MT perforasi atik/marginal (pars flasida), busuk, granulasi (+), kolesteatoma (+)

A

OMSK MALIGNA/BAHAYA

Mastoidektomi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Fase OMSK
1. Sekret (+)
2. Sekret (-)

A
  1. FASE AKTIF
  2. FASE TENANG
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Inflamasi MT, bulla (+) serum/darah, s. pneumoniae

A

MIRINGITIS BULOSA

Amoksisilin 3x 500mg / eritromisin 4x 500mg / amoxiclav 3x 625mg PO, simtomatis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

HL sensorineural progresif bilateral , usia tua, cocktail party deafness (+) ruang bising memburuk, ANM gangguan >2,000Hz

A

PRESBIAKUSIS

ABD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
HL sensorineural bilateral, ANM gangguan 3,000-6,000 Hz terutama 4,000 Hz (noise notch), paparan bising Batas bising - Waktu?
NIHL ## Footnote ABD 85dB max 8 jam +3dB waktu dibagi 2 E.g 88dB max 4 jam
26
HL mendadak akibat suara keras
TRAUMA AKUSTIK ## Footnote ABD
27
HL, ANM gangguan >8,000Hz, rw aminoglikosida, cisplatin
OTOTOKSISITAS ## Footnote Hentikan obat
28
INFLAMASI SALURAN THT 1. Rhinitis: 2. Sinusitis: 3. Tonsilitis: 4. Faringitis: 5. Laringitis:
1. Rinore, hidung tersumbat, bersin, inflamasi rongga hidung 2. Nyeri tekan sinus 3. Inflamasi tonsil, odinofagia, halitosis 4. Inflamasi faring, odinofagia 5. Suara serak (disfonia)
29
Inflamasi rongga hidung, rinore, hidung tersumbat, Prodromal (+) lalu gejala rinitis, seromukus
RINITIS VIRUS ## Footnote Self limiting, simtomatis
30
Inflamasi rongga hidung, rinore, hidung tersumbat, malaise demam (±), seromukus menjadi mukopurulen
RINITIS BAKTERIAL ## Footnote Simtomatis; amoksisilin 3x 500mg, eritromisin 4x 500mg (refrakter)
31
Inflamasi rongga hidung, rinore, hidung tersumbat, rinitis berulang, konka dan faring bengkak, fenilefrin konka mengempis, sekret mukoid
RINITIS KRONIS SIMPLEKS ## Footnote Cuci hidung, simtomatis
32
Inflamasi rongga hidung, rinore, hidung tersumbat, rinitis berulang, konka hipertrofi dan benjol benjol, fenilefrin konka tidak mengempis
RINITIS HIPERTROFI ## Footnote Etiologis, konkotomi
33
Inflamasi rongga hidung, rinore, hidung tersumbat, Infeksi kronis, hidung bau busuk, sekret purulen bau busuk, krusta (+)
RINITIS ATROFI/OZENA ## Footnote Cuci hidung, Ab kuinolon; pembedahan young (refrakter)
34
Inflamasi rongga hidung, rinore, hidung tersumbat, udara panas/kering, krusta 1/3 anterior septum nasi yang mudah berdarah
RINITIS SICCA ## Footnote Cuci hidung
35
Inflamasi rongga hidung, rinore, hidung tersumbat, Rw alergi, paparan alergen, sekret serosa, allergic shinner (kantong mata), allergic salute (manuever gosok hidung), allergic crease (garis hidung), cobblestone faring, IgE (+), eosinofil tinggi
RINITIS ALERGI ## Footnote Cetirizine/loratadine 1x 10mg PO (int. ringan); + pseudoefedrine 2x 60mg PO / flutikason/mometason spray (int. sedang-berat/per. ringan); flutikason/mometasone spray SAJA (per. berat)
36
Inflamasi rongga hidung, rinore, hidung tersumbat, Suhu/stres/asap, hidung tersumbat gantian, konka gelap hipertrofi, gangg. regulasi nasal
RINITIS VASOMOTOR ## Footnote Hindari stimulus, simtomatis; neurektomi n. vidianus
37
Inflamasi rongga hidung, rinore, hidung tersumbat, Penggunaan efedrin/oksimetazolin berlebih
RINITIS MEDIKAMENTOSA ## Footnote Hentikan dekongestan nasal, intranasal CS
38
<12wk, ≥2 (kongesti hidung, sekret hidung/faring, nyeri wajah, hiposmia)
RINOSINUSITIS AKUT ## Footnote Simtomatis; intranasal CS ± Ab (refrakter 5d)
39
≥12wk, ≥2 (kongesti hidung, sekret hidung/faring, nyeri wajah, hiposmia), ≥1 (polip nasi, mukopurulensi, obstruksi meatus media), rontgen waters/CT paranasal penebalan mukosa, air-fluid level
RINOSINUSITIS KRONIS ## Footnote Cuci hidung, flutikason/mometason spray, Ab (infeksi); FESS (refrakter)
40
Pendarahan hidung, trauma, plexus kiesselbach/little area/a. ethmoidalis ant.
EPISTAKSIS ANTERIOR ## Footnote Trotter’s method (tekan hidung 15m); tampon anterior dengan lidocaine 2% + 1/1000 0.2 mL epinefrin (15m); kauterisasi AgNO3 15-25%, tampon anterior vaselin + Ab (2x 24h)
41
Pendarahan hidung, penyakit sistemik, plexus woodruff/a. sfenopalatina/a. ethmoidalis post.
EPISTAXIS POSTERIOR ## Footnote Tampon posterior/bellocq
42
Massa hidung bertungkai licin putih-abu-merah
POLIP NASI ## Footnote Intranasal CS; polipektomi (refrakter)
43
Tatalaksana Benda Asing Hidung 1. CORPUS ALIENUM HIDUNG GRASPABLE 2. CORPUS ALIENUM HIDUNG FRIABEL 3. CORPUS ALIENUM HIDUNG SOLID
1. Aligator forsep 2. Suction/irigasi 3. Hook/kuret; lasso; superglue
44
Rw ingesti benda, asimtomatis, bronkus kanan>>
CORPUS ALIENUM BRONKUS ## Footnote Bronkoskopi
45
Rw ingesti benda, audible slap, palpatory thud, asthmatoid wheeze
CORPUS ALIENUM TRAKEA ## Footnote Bronkoskopi
46
Rw ingesti benda, odinofagia, benda tervisualisasi 1. Suara parau, disfonia: 2. Afonia, apneu, sianosis:
CORPUS ALIENUM LARING 1. SUBTOTAL/PARSIAL 2. TOTAL ## Footnote Heimlich/back blow (total), laringoskopi (subtotal)
47
Rw ingesti benda, odinofagia saja
CORPUS ALIENUM HIPOFARING/OROFARING ## Footnote Ekstraksi pinset corpal
48
Rw trauma, hidung tersumbat, cavum nasi asimetris
DEVIASI SEPTUM ## Footnote Septoplasti
49
Rw trauma, hidung tersumbat bengkak, darah (+)
HEMATOMA SEPTUM ## Footnote Insisi drainase, Ab IV
50
Demam, odinofagia, nyeri, detritus non konfluen (folikularis)/konfluen (lakunaris), tonsil bengkak hiperemis
TONSILITIS AKUT ## Footnote Simtomatis, benzatin penisilin G 50,000U/kg / 600,000-1,200,000U SD IM / amoxicillin 50mg/kg 10d / eritromisin 4x 500mg 10d (GAS)
51
Rasa ganjal tenggorokan, halitosis, kripte melebar isi detritus, jaringan parut (+), tonsil membesar berdungkul
TONSILITIS KRONIS ## Footnote Tonsilektomi
52
Demam, pseudomembran mudah berdarah, bullneck, c. diphteriae (gram (+) bentuk drumstik), kultur blood tellurite (+)
TONSILITIS DIFTERI ## Footnote Anti difteri serum 20,000-100,000 IU, Ab eritromisin / penisilin
53
Demam, odinofagia, faring hiperemis, swab/kultur (+), GAS 1. Sekret jernih 2. Demam tinggi, eksudat 3. Bercak putih
FARINGITIS AKUT 1. VIRAL 2. BAKTERIAL 3. FUNGAL ## Footnote Simtomatis (viral), benzatin penisilin G 50,000U/kg / 600,000-1,200,000U SD IM / amoxicillin 50mg/kg 10d / eritromisin 4x 500mg 10d (bakterial), nystatin drop 2-3x 100,000-400,000 IU (fungal)
54
Rasa kering di tenggorokan, rasa mengganjal 1. Faring cobblestone 2. Udara kering, halitosis, lendir kental faring 3. Bercak keputihan, gumma, sifilis 4. Granuloma perkejuan, TB
FARINGITIS KRONIS 1. HIPERTROFIK 2. ATROFI 3. LUETIKA 4. TUBERKULOSA ## Footnote Obat kumur, AgNO3 (hipertrofik) Obat kumur, Ab kuinolon (atrofi) Obat sifilis (luetika) obat TB (tuberkulosa)
55
Demam, ISPA, disfagia, odinofagia, disfonia, mengganjal dan berdehem (kronis), x-ray thorax steeple sign (+)
LARINGITIS ## Footnote Simtomatis
56
Penyanyi/instruktur, disfonia, nodul kacang hijau putih pita suara bilateral
SINGER’S NODE ## Footnote Istirahat bicara, voice therapy; bedah mikrolaringoskop
57
Alergi/rokok, disfonia, massa unilateral bertangkai mobile
POLIP PITA SUARA ## Footnote Voice therapy; bedah mikrolaringoskop
58
GERD, ulkus unilateral/bilateral aritenoid
GRANULOMA ## Footnote PPI, voice therapy
59
besitas, mengorok dan episode terbangun, polisomnografi abnormal
OSA ## Footnote Turunkan BB, CPAP
60
Hidung tersumbat, OSA, adenoid facies, nafas mulut, RAN ≥0,52
HIPERTROFI ADENOID ## Footnote Adenoidektomi
61
Abses, Tonsilitis komplikata, hot potato voice (+), uvula terdotong kontralateral, palatum fluktuasi (+)
ABSES PERITONSILAR/QUINCY ## Footnote Ab IV, insisi drainase
62
Abses, Tonsilitis/faringitis komplikata, trismus (+), faring terdorong kontralateral
ABSES PARAFARING ## Footnote Ab IV, insisi drainase
63
Abses, Tonsilitis/faringitis komplikata, trismus (-), benjolan faring
ABSES RETROFARING ## Footnote Ab IV, insisi drainase
64
Abses, OMA/OMSK komplikata, temporo-oksipital edema, fluktuasi (+)
ABSES CITELI ## Footnote Ab IV, insisi drainase
65
Abses, OMA/OMSK komplikata, temporo-zygomatik edema, fluktuasi (+)
ABSES LUC ## Footnote Ab IV, insisi drainase
66
Abses, OMA/OMSK komplikata, m. sternocleidomastoideus/digastrik, edema, fluktuasi (+)
ABSES BEZOLD ## Footnote Ab IV, insisi drainase
67
Abses, Infeksi gigi, edema submandibula bilateral, lidah terangkat, keras seperti papan
ANGINA LUDWIG ## Footnote Ab IV, insisi drainase
68
Rw EBV, perokok, gejala THT + mata, massa fossa rossenmuller, fenomena palatum mole (-), biopsi histo PA (+) maligna
CA NASOFARING ## Footnote Radiasi (S I), kemoradiasi (S II-IV)
69
Massa sinus, industri kimia, gejala H + mata, fasial
CA SINONASAL ## Footnote Pembedahan
70
Laki remaja, epistaxis berulang, massa kenyal medah berdarah, CT (+) holman miller sign, angiografi (+)
JUVENILE NASOPHARYNGEAL ANGIOFIBROMA ## Footnote Pembedahan
71
Massa Os hyoid, ikut naik turun saat menelan
KISTA DUKTUS TIROGLOSSUS ## Footnote Metode sistrunk
72
Massa Anterior m. sternocleidomastoideus, lunak, tidak nyeri, fluktuasi (+)
BRANCHIAL CLEFT CYST ## Footnote Eksisi komplit
73
Massa Posterior triangle, transiluminasi (+)
HIGROMA KISTIK ## Footnote Aspirasi
74
Kepala miring ke satu sisi sejak lahir
TORTIKOLIS KONGENITAL ## Footnote Fisioterapi; operasi
75
Metode Imaging: 1. Sinus maksilaris, arkus zygomatikus, cavum nasi 2. Posterior sinus maksilaris, posterior fossa 3. Sinus frontalis 4. Semua sinus 5. Kanal dan foramen optik 6. Mastoid lateral (air cells) 7. Seluruh mastoid, temporal
1. WATERS 2. TOWNE 3. CALDWELL 4. SCHEDEL 5. RHESE 6. SCHULLER 7. STENVER