Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
1. Allergic salute?
|
a. Crease in nasal bridge, characteristic of upward nose rubbing.
|
|
|
2. What are allergic “shiners” caused by?
|
a. Nasal mucosal oedema interfering w/venous drainage resulting in venous pooling under the eye.
|
|
|
3. Rhinitis
|
a. Inflammation of the nasal mucosa.
|
|
|
4. Sinusitis?
|
a. Mucous membrane inflammation of a sinus cavity.
|
|
|
5. How can CSF leak be distinguished?
|
a. By demonstrating glucose in the fluid.
|
|
|
6. How is allergic rhinitis usually diagnosed?
|
a. History and exam alone!
b. Eosinophils in a Hansel stain of nasal drainage support the diagnosis. c. Allergy testing may be helpful in pts w/severe symptoms. |
|
|
7. Vasomotor rhinitis?!?
|
a. Symptoms similar to allergic rhinitis but more related to weather changes, physical stimuli, or emotion in pts lacking atopic histories or nasal smear eosinophilia.
b. Requires no treatment. c. However, a topical antihistamine such as azelastine (Astelin) may be helpful in older children. |
|
|
8. Principal tx in allergic rhinitis?
|
a. Allergen avoidance.
b. If it can’t be avoided, antihistamines may control symptoms. |
|
|
9. Most commonly used paediatric decongestant?
|
a. Pseudoephedrine.
|
|
|
10. SE of Pseudoephedrine?
|
a. HTN
b. Agitation c. Insomnia d. Occasionally hallucinations |
|
|
11. Use of Afrin (topical decongestant)?
|
a. Useful initially for significant obstruction, but should only be used for a few days at a time bc chronic use leads to rebound oedema (rhinitis medicamentosa).
|
|
|
12. Are Nasal steroids effective for treatment of allergic rhinitis?
|
a. Yes
|
|
|
13. SE of Nasal steroids for allergic rhinitis?
|
a. Epistaxis
b. Irritation c. Burning d. In general, nasal steroids are well tolerated. Little or no systemic effect is expected. |
|
|
14. Unilateral purulent nasal discharge, think?
|
a. Foreign body.
|
|
|
15. Complication of chronic inflammation of allergic rhinitis and chronic sinusitis?
|
a. Nasal polyps.
b. But a child who is <10-12 w/polyps should be tested for CF. |
|
|
16. Prevalence of nasal polyps in CF pts?
|
a. 25%
|
|
|
17. Kartagener syndrome symptoms?
|
1. Situs inversus
2. Chronic sinusitis/otitis media 3. Airway disease. |
|
|
18. Confirmation test for Kartagener syndrome?
|
a. Cilia electron microscopy
|
|
|
19. What does a positive NBT test suggest?
|
a. Phagocytic defect.
|
|
|
20. What does a low total immunoglobulin suggest?
|
a. Humoral Immunodeficiency.
|
|
|
21. Most common paediatric sarcoma?
|
a. Rhabdomyosarcoma.
b. Approx. ½ of these are located in the head/neck region |
|
|
22. How does rhabdomyosarcoma typically present?
|
a. Sometimes tender mass, causing symptoms from normal structure displacement.
b. When arising from nasal tissue, it can obstruct the nares and extend into the skull (causing cranial nerve involvement). |
|
|
23. Note: Attempting to remove a fleshy nasal mass in the office is NOT appropriate!!!!!
|
23. Note: Attempting to remove a fleshy nasal mass in the office is NOT appropriate!!!!!
|
