Stomps Flashcards
Ostiomeatal complex
channel that links the frontal sinus, anterior ethmoid air cells and maxillary sinus to the middle meatus, allowing airflow and mucociliary drainage.
MC paranasal Sinusitis
Acute Maxillary Sinusitis-MC- larger easily obstructed
ACUTE RHINOSINUSITIS Abx DOC?
Amoxicillin-Clavulanate (Augmentin
NASAL VESTIBULITIS MC due to what organism?
Staph aureus
NASAL VESTIBULITIS TXT DOc?
Dicloxacillin W/ Mupirocin topical (nasal)
INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS causes? What organism?
Aspergillus enters Danger triangle/vascular space and causes tissue necrosis
What type of priority is INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS?
Medical/surgical ER
DOC to TXT INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS?
Amphotericin B
Mainstay TXT of Allergic Rhinitis?
(IN) CCS
Pt education - spray into middle turbinate (not septum)
- Hold bottle straight up, head tilted forward, point ipsilateral
MC cause of Olfactory dysfx?
Anatomic Blockage
Recurrent epistaxis MC site of bleeding?
Anterior bleeds - Kiesselbach’s plexus
Recurrent epistaxis Most severe site of bleeding?
bigger arterial supply – Woodruff’s plexus ass/w HTN/athrosclerosis (ADMIT)
MC Fx bone in the body?
Nasal Fx
MC cancer found in the sinuses and nasopharynx?
SCC
Behcet’s disease
INFLAMMATORY DISORDER WITH RECURRENT ORAL AND GENITAL ULCERS
Adult DOC TXT of GAS pharyngitis/tonsilitis?
(PO) PCN VK or Benz PCN (IM)
Child DOC TXT of GAS pharyngitis/tonsilitis?
(PO) PVK (DOC)
(IM) Bicillin C-R
Peritonsillar Abscess TXT?
Needle aspiration OR
Incision and drainage (fail TXT 24h) OR
Tonsillectomy (Fail TXT 24h)
Peritonsillar Cellulitis TXT
Severe - (IV) Amox or Clinda
Less severe - (PO) Amox, amox/clav, clinda
MC cause of Hoarseness?
Acute laryngitis
Epiglottitis or supraglottis organsim?
HIB
XR sign seen w/ Epiglottis?
Thumb sign
Hoarseness >2w w/out S/S of URI req?
Complete ENT exam w/ Hx of tob/Etoh
MC cause of unilateral vocal cord paralysis?
Iatrogenic injury
Vocal cord dysfx is AKA?
Paradoxical Vocal Fold Movement (PVFM)
PVFM is
syndrome of acute and chronic upper airway obstruction characterized by paradoxical vocal cord adduction
MC tumor of Childhood is?
Hemangiomas
Rule of 7s concerning masses
7d = inflam 7w-7mo = neoplastic 7yrs = Congenital
Suppurative LAD in middle-aged pt w/ Tob/Etoh hx suggest what until R/O?
Malig - (Mets SCC)
Ludwigs Angina TXT
Penicillin + metronidazole, OR clindamycin