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27 Cards in this Set
- Front
- Back
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Q. Name the disease? Middle /external ear canal: infections, neoplasms. Referred from TMJ, wisdom teeth, Tonsillitis, Atlas /axis subluxation.
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Earache
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Q. Menieres disease is idiopathic? T or F
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True
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Q. Conductive?
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lesion in the external canal or middle ear.
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Q. Sensorineural?
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lesion in the inner ear or 8th cranial nerve
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Q. Weber test?
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bone conduction, lateralization
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Q. Rinne test?
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air conduction to bone conduction
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Q. Name the disease? Perception of sound in absence of stimulus (tingling, higher pitch ringing, roaring, may be intermittent or constant, may or may not be associated with hearing loss). ASA toxicity (Aspirin)
Noise, trauma (Loud Concert). Acoustic neuroma. |
Tinnitus
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Q. Name the disease? Middle /external ear canal: infections, neoplasms. Referred from TMJ, wisdom teeth. Tonsillitis, allergies.
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Earache
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Q. Name the disease?
Sensation of moving around in space (subjective) or having objects moving around the patient (spinning sensation). Peripheral (both ears): more severe, more N/V, hearing loss common. Nausea, vomitting. Central (CNS disease): milder, NOT hearing associated, except in acoustic neuromas. |
Vertigo
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Q. Vertigo can be caused by what five things?
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1. Viral upper respiratory
2. Other infections 3. Drugs 4. Menieres disease 5. Tumors |
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Q. Menieres disease: idiopathic? True or false
Menieres Syndrome: Not idiopathic? T or F |
1. True
2. True |
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Q. Vertigo. Progressive hearing loss (10-15% is bilateral) Tinnitus, Vomitting. Endolymph and perilymph in the ear. Break in membrane separating fluids. Mechanical distortion of organ of Corti (hearing loss) (low frequency is most affected first.
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Meniere’s Disease
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Q. Name 5 tests done on Meniere’s Disease?
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1. Romberg Test (close eyes, hold arms out)
2. Weber (sound will lateralize to GOOD ear) 3. Rinne tests (air longer than bone – normal) 4. MRI & 5. CBC |
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Q. Name the disease? Inflammation of vestibular division CNVIII. Abrupt onset of debilitating vertigo. First attack is usually the most severe, usually last 7-10 of Nausea Vomiting and nystagmus. Brief period of latency before it starts.
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Vestibular Neuronitis
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Q. Name the disease? Elicited by certain head positions. No hearing loss or tinnitus. Type of nystagmus depends on SCC. Particles (otoliths) interfere with sensory input and cause vertigo.
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Benign Positional Vertigo
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Q. Name the disease? Benign tumor CN VIII. Unilateral tinnitus usually first symptom. Hearing loss occurs years later
Central vertigo. |
Acoustic Neuroma
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Q. Name the disease? Usually associated with loss of hearing. Perforation of TM is common. Fluid in ear: can turn into a rock in the ear. Treatment: Tempanoplasty: surgery.
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Chronic Otitis Media
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Q. Name the disease? Serous effusion of middle ear. Bubbles, air/fluid levels seen. TM retracted and immobile.
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Otitis Media with Effusion (OME)
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Q. Name the disease? 70%, peak ages 3 mos.-3 years. ET dysfunction usually follows a viral URI. otalgia, irritability, fever, V/D, decreased p.o. intake. TM with erythema, decreased light reflex and decreased mobility. Pus Drainage with TM rupture.
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Acute Otitis Media
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Q. What are the bacterial causes of otitis media?
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Strep Pneumonia, H.Flu, moroxilacaterilis.
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Q. What are 2 treatments for otitis media?
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1. Amoxicillin antibiotic of choice for initial and uncomplicated OM.
2. Topical benzocaine ear drops for pain unless TM is ruptured |
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Q. Name the disease? Sudden onset of severe pain.
Vesicles seen of TM. Viral etiology usually. Goes away within 2 days. Clear fluid discharge. |
Bullous myringitis
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Q. Name the disease? Associated with untreated chronic OM. Pars flaccida pulled in forming a sac. Bone erosion, hearing loss, facial muscle paralysis, meningitis may occur.
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Cholesteatoma
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Q. Name the disease? Sequelae of AOM. Subperiosteal abscess. LABS: leukocytosis, ↑ ESR, blood c/s.
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Acute mastoiditis
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Q. Name the disease? Ankylosis of stapes > hearing loss. Tinnitus in 75% of patients.
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Otosclerosis
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Q. Name the disease? Multi-system, episodic inflammation (ears, nose joints and airways) (middle–aged). Death a result of airway cartilage destruction.
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Relapsing polychondritis
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Q. Name the disease? Sequelae of shingles
Severe pain prior to rash Loss of taste and dry eyes and mouth may occur. Ramsay-Hunt syndrome |
Herpes zoster oticus
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