Otoscope pathology Flashcards
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Impacted wax
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foreign body stuck there
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foreign body caused some irritation and bleeding
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otitis externa, walls of ear canal very edematous & inflammed
Types of TM perforation locations
which ones are unsafe?
central perforation is safer than an attic perforation (pars flaccida)
bc attic part is not under tension so greater risk of complication arising in that area
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Otitis media no effusion
bulging tympanic membrane, red
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Also otitis externa, cant see TM bc of pus and debris everywhere
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Fungal otitis Externa, hyphee strands
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TM perforation
Wet
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tympanic membrane perforation
can see glistening mucous lining of the middle ear
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a dry perforation
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Central perforation
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attic perforation (cholesteatoma)
blood stained area and whitish material
retraction pocket in pars flaccida
foul smelling persistant discharge
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an early cholesteatomo
TM looks fairly normal, u can see cone of light and malleous,
but see bl attic theres somthing there
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delayed cholesteatoma retracted pocket has become bigger,
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cholesteatoma
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Pearly white keratin appearence
cholesteatoma
man w/ previous ear infections
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Tympanosclerosis (not serious tara)
chalky white deposits appearence
previous ear infection heals and forms this
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Otitis media with effusion (glue ear)
Dark (straw coloured) TM bc of mucous fluid bidal air, malleolus slight retracted looks horizontal instead of vertical
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Glue ear
honey colour appearance
air bubbles
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Congenital cholesteatoma
persistant epithelial cells rest left within the middle ear during growth of the embryo