Peds ENT Flashcards

1
Q

Sx of acute tonsilitis

A
  • sore throat
  • fever
  • dysphagia
  • enlarged with exudate
  • bad breath
  • tonsoliths and abscesses
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2
Q

etio. of tonilitis

A

bact and viral

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3
Q

3 Tx of tonsillits

A
  1. hydration
  2. analgesic
  3. ABs
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4
Q

4 complications

A
  1. deep neck infections
  2. sepsis
  3. glomeluronephritis
  4. rheumatic fever
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5
Q

presentation of obst. sleep apnea

A
  • heroic snoring
  • restless sleeping
  • enureis
  • sleepyness
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6
Q

4 absolute indications for tonsilectomy

A
  1. OSA, cor pulmonale
  2. suspect malig.
  3. hemmoragic
  4. severe dysphagia
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7
Q

4 relative indications

A
  1. hypertrophy
  2. recurrent
  3. complications
  4. tonsiliths and halitosis
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8
Q

what is adenoid hypertrophy

A

increase in size with repeated infection and allergy

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9
Q

clincal features of adenoids

A
  1. obst
  2. rhinitis, sinusitis
  3. PND and cough
  4. recurrent OM
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10
Q

indications to remove adenoids

A
  • OSA
  • chronic nasopharyngitis
  • OME
  • recurrent AOM
  • malig
  • chronic sinustits
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11
Q

2 main causes of otitis media

A
  1. infection
  2. eustacian tube dysfunction
    - makes fluid that can get infected easily
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12
Q

Sx of OM

A
  • pain
  • otorrhea if perfed
  • fever
  • hearing loss
  • tugging
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13
Q

3 most common bact in OM

A
  1. s. pneumonia
  2. H .influenza
  3. M. catarrhalia
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14
Q

**7 predisposing factors for OM

A
  1. day care
  2. smoke exposure
  3. craniofacial abnormal - DS
  4. immunodef.
  5. bottle feeding
  6. family Hx
  7. aborig
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15
Q

2 main locations of OM complications

A
  1. intratemporal

2. intracranial

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16
Q

what is wathcful waiting approach

A

observe for 48-72 hrs with antipyretics and no ABs

17
Q

4 groups to use watchful waiting with

A
  1. child > 6 months
  2. no risks
  3. illness not severe no fever
  4. reliable parents
18
Q

main AB for OM

A

amox - high dose

19
Q

signs of OM with effusion

A
  1. fluid without signs of Sx or infection
  2. conductive HL
  3. flat tympanogram
20
Q

what is MGMT of OM with with effusion

A

AB NOT EFFECTIVE

- can put in tubes

21
Q

7 indications for tubes

A
  1. recurrent AOM (>4 episodes in 6 mos)
  2. complications
  3. lack of respnse to medical therapy
  4. persistent effusions
  5. bilateral OME
  6. bilateral Cond HL
  7. chronic retraction of TM
22
Q

4 signs of airway obst.

A
  1. noisy breating
  2. diff. breathing
  3. stops breathing
  4. blue spells
23
Q

what is laryngomalacia

A

redundant mucosa cuasing supraglottic collapse

- inspiratory stridor

24
Q

Tx of laryngomalacia

A
  1. obs

2. supraglottoplasty

25
Q

*** presentation of subglottic hemangioma

A
  • biphasic stridor
  • starts after 1 month of age
  • progressive increase
26
Q

4 Tx for hemangioma

A
  1. laser resection
  2. steroids
  3. tracheotomy
  4. propranalol
27
Q

what is subglottic stenosis and Sx

A

extraskin

- stridor and croup

28
Q

Tx of stenosis

A

soft tissue -laser

hard tissue - laryngeopkasty

29
Q

what is acute epiglottitis

A

acute inflammation of epiglotis

30
Q

main cause

A

H influenzae

- hardly see now because of vaccine

31
Q

Tx of epiglottitis

A
  • intubate i n OR
  • cultures
  • IV cef