Pass Med Flashcards
What is rhinitis medicamentosa?
Condition of rebound nasal congestion brought on by extended use of nasal decongestants
3 causes of perforated tympanic membrane
Most common: Infection
Barotrauma
Direct trauma
What is cholesteatoma?
Non-cancerous growth of squamous epithelium that is ‘trapped’ within skull base leading to local destruction
10-20 years
cleft palate increases risk 100 fold
‘attic crust’ seen in the uppermost part of ear drum
Medications that can cause tinnitus
Aminoglycosides (Gent)
Furosemide
NSAIDS
Aspirin
Causes of uvula deviation
Peritonsillar abscess (quinsy) Vagal nerve palsy
Symptoms of tonsillitis
sore throat
difficulty swallowing
Peritonisillar abscess
- deviation of uvula
- trismus (difficulty opening mouth)
- reduced neck mobility
Where is Kisselbach’s plexus (Little’s area)
Anterior nasal septum
What is otosclerosis?
Replacement of normal bone ot vascualr spongy bone
Causes progressive deafness
Autosomal dominant
Typically affects young adults
Features of otosclerosis
Usually 20-40 Conductive deafness Tinnitus Normal tympanic membrane Positive FH 10% flamingo tinge
Treatment for tonsillitis
Phenoxymethylpenicillin for 5 to 10 days
Stensen’s duct
Wharton’s duct
Stenson’s parotid
Wharton’s submandibular
What is the main side effect of using nasal contestants for prolonged periods?
Tachyphylaxis - increasing dose to provide same effect
Features of acoustic neuroma
V - Absent corneal reflex
VII - Facial Palsy
VIII - Hearing Loss, Vertigo, Tinnitus
Where can referred pain to the ear come from?
V, VII, IX, X, C2, C3
Drugs causing gingival hyperplasia
Phenytoin
Cyclosporin
Calcium Channel Blockers
AML
