week 2 Flashcards
how to tell the difference between upper and lower motor neurone lesions
if they can still move their eyebrow and forehead it is a stroke
inflammation of the ear canal
otitis externa
how to treat otitis externa
antibiotic drops in the ear NOT ORAL
middle ear bacterial infection
acute otitis media
had a cold a few days a go now holding ear and crying
acute otitis media
otitis medial with effusion, cholsyeatoma. perforation
chronic otitis media
adults with otitis media with effusion what do you suspect
rhinosisitis, neruoma, lymphoma
presence of keratin in the middle ear
cholesteatoma
medial acure aipis media can lead to
sensorineural hearing loss/tennitus/vertigo/facial palsy
superial acute otitis media van lead to
brain abscess/meningitis
posterior acute otitis media can lead to
venous sinus thrombosis
gradual onset conductive hearing loss
otosclerosis
dip at 4Hz in young person who has load noise exposure
noise induced hearing loss
drugs that can cause sensorineural hearing loss
gentamicin, chemotherapeutic drugs, aspirin and NSaids
benign tumour arising in internal auditory meatus in the vestibular nerve
vestibular schwannoma
bleeding over mastoid be suspicious of
temporal bone fracture
menieres disease
dizziness disabling, nausea , ringing and headache
BPPV presentation
recurrent episodes of vertigo that last less than 1 minute and are provoked by changes in head movements relative to gravity.
cause of BPPV
often associated with a minor to severe blow to your head.
if you are dizzy and have acute otitis media what is important not to miss
the fact it could have eroded other inner ear structures - REFER URGENTLY
where does the eye flick towards in nystagmus
the affected ear
patophysiology of PBV
the crystals break off and get into the posterior canal usually
dix hall pike test
lie back short latency maybe nystagmus
treatment of PBV
epley manoeuvre
