Pediatric ent Flashcards

1
Q

what to ask in hearing loss

A

ear symptons incluing pain
speech delvelopen
school performace
behaviour problesms

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2
Q

what is the cuase of neonatal hearing loss

A

maternal perinatla infections
delivery issues
neonatal infections
growth, imunisation, passive smoking, breast and bottle feeding

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3
Q

what are some objective hearing tests

A

tympanometry
otoacoustic emmisions
auditory brian stem response

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4
Q

what are some subjective hearing tests

A

vra, distraciton visual reinforma auidmary
performance
pta - pure tone audiary

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5
Q

what hearing test is most sutible for a child aged 6- 18 monts

A

distraction test

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6
Q

what hearing test is most sutible for a child aged 12- 3 years

A

visual reinfored auidmery

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7
Q

what type of test is most paparte for a child aged 3-6 yers

A

play audiometry

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8
Q

what does the distidcatio test invovle

A

having a quiet toy infornt of child and playing a noisy toy behind child to see if they turn around

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9
Q

what is visula reinfaiotmen auidmery

A

where you hav ea child turn ot a sound they get a viusl reinfoae such a puppet

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10
Q

how does tympanomety work

A

measuer the pressure of the ear

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11
Q

what is type a, b and c tympanometyr results

A

a - nomral
b - reduced middle ear pressure indication perforation
c - negative middle ear pressure curve

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12
Q

in what condition does the chilid have to be for auditory brain stem repsonse

A

unconcious

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13
Q

how is an auditory brain stem response triggered

A

thorugy conenctrs connected to the child brain wihc measures the response to hearing stiumusl

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14
Q

what are the concerns for otitis media with effusion

A

learing development
behavioural issues
cognative impairmet

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15
Q

what are risk factors for otitis media with effusion

A

bottle feeding
materal smoking
day care
cleft palate
downs syndomre

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16
Q

what is an example of autoinflaton for otisi media

A

otovent

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17
Q

after what period of time should a grommet be inserted

A

3- 6 months

18
Q

treatmetn for otitis externa

A

aural micorsuion
tropical antibiotns
water precautions

19
Q

most common otits media bactiera

A

haemophilus influenza
strep pneumonia
moraxella catarrhalis

20
Q

treatemt for bactreial otis meida

A

co amoxiclav

21
Q

where can acute otits media spread to

A

mastoid process

22
Q

complications of otitis media

A

hearing loss
tympanic membrane perforation
labryinthits
menigitis
mastodiits
intracrainal abcess
sinus thromboisi
facial nerve pralsys
cholestematoma

23
Q

signs of cholestema

A

chornic discharing ehar
hearing loss despite grommits

24
Q

treatemetn for cholestema

A

mastoidectoy

25
caues of snoring in peadiatrics
slep apnea, night terrs,
26
tests for nose fucntion
cold spatula - airflow antiero rhinosmcy tonsillar hypenrts - so lok at oropharnx otoscopy ascessment of speech
27
what is a nomarl rhinitsi epidose
8 per year
28
what are nasla polyps assoiced with
cf
29
symptoms of nals polpys
middle ear dysfcion, rinitis
30
what is a blocked nose called in brith
choanal atresia
31
treatemet fo epistaix
antiboic oiments siler nitrates diathermy (caterlisation)
32
after what points should you head to hospital with nsoe bleed
15 minetes
33
caues of bacteira in tonsilits
b haemaltic strep b
34
virus cuase of tonsilitis
ebv
35
rare conplicaotn of tonsilits
glomerulonephritis - inflmation of kidneys
36
treatmet for tonsilits
supportive or antibiotics
37
cause of airway issues in children
large tonsils, large tounge short neck large floppy epigotis sub glottis narrowed
38
epigltois
very rate inflatom of epiglotis
39
what is the singis of larngytmalacida
strugglign to breaht
40
treatmetn of larynogmalica
intubation