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12 Cards in this Set
- Front
- Back
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Differential for ear pain w/ and w/o normal TM and canal?
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abnormal TM and canal:
Acute otitis media mastoiditis cholesteatoma furuncle foreign body otitis media normal canal and TM: referred pain from abscesses, TMJ tonsilitis |
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Otitis Media
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viruses
strep pneumo H Flu Moraxella spread from Eustacian tube non specific comlpaints in children under 2 treat all cases under 6 mo with Amox/Augmentin/Ceftriaxone treat only severe/certain cases over 6 months |
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Complications of Otitis Media
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dermatitis
perforation of tympanic membrane mastoiditis hearing loss cholesteatoma meningitis |
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Mastoiditis
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infection in air cells in bone
forms abscesses causes outward displacement of ear |
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Otitis Media with Effusion
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fluid in middle ear
mild discomfort fullness and dullness of sound |
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Cholesteatoma
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from negative ear pressure
sac like structure behind and adjacent to TM can destroy middle ear and temporal bone can spread to cranial vault |
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Otitis externa
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can be swollen shut
have wet debris pain on the movement of pinna or tragus swimmer's ear |
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Differential Diagnosis for sore throat
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GABHS - if RST is positive
other bacteria like staph, strep, pneumococcus, H Flu, Morexalla, AND Viruses IF infection is under 7 days in duration longer than 7 days think mono, diptheria, allergies, GERD |
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Conditions associated with Bacterial pharyngitis
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ages 5 -10
acute onset rash, exudate positive culture or strep screen abdominal pain lymph nodes petechiae |
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Conditions associated wtih Viral pharyngitis
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younger than 5 or older than 10
gradual onset upper respiratory tract infection Ulcers lymph nodes conjuctivitis |
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Differential Diagnosis for congenital neck mass
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midline - thyroglossal duct cyst
off center - Branchial cleft cyst posterior triangle - cystic hygroma belly of SCM - congenital torticollis soft and purple - hemangioma |
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Differential Diagnosis for acquired neck mass
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submandibular - lymph node or salivary gland infection
midline - goiter/thyroiditis cervical mass with racoon eyes - rhabdo |
