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25 Cards in this Set

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What is the treatment for TMJ?
NSAIDS
Muscle relaxant
MCC of pre-auricular sinus infection? How do you treat?
Staph aureus
Treat with Keflex, Omnicef
Another name for herpes zoster otis
Ramsey Hunt
Inflammation of the pinna due to infection, most commonly pseudomonas. How do you treat?
perichondritis

Treat with Cephs or FQ
What is a cauliflower ear?
A hematoma in the ear due to trauma
A stupid scar that wont heal. How do you treat?
keloid

Treat with Steroids
A benign bony growth in the ear canal
Osteoma

If multiple osteomas it's called exostoses
How do you extract an insect from the ear?
Drown it in mineral oil, but only if TM is intact

Must have direct visualization of the insect
This ear condition is MC in DM and caused by pseudomonas. How do you treat it?
malignant otitis externa

Treat with Oral FQ's, ototopical steroids
MCC of otitis externa?
Bacterial:
Pseudomonas
Staph aureus
Proteus
Klebsiella
E.coli

Fungal:
Aspergillious 90%
Candida
How do you treat otitis externa?
NSAIDS- for pain
ABX- if fever
Aural toilet (suction, dry mop_
Do NOT irrigate
MCC of Otitis media?
Bacterial: 70%
Strep pneumo
H.flu
M.cat

Viruses: 30%
RSV
When would you suspect a nasopharyngeal mass?
If you have unilateral otitis media
MCC of acute mastoiditis. How do you treat?
Strep pneumo

Treat with drainage and ABX
How do you test typanic membrane mobility?
Tympanometry
How do you treat Otitis media? If acute?
Amoxicillin 45mg/kg

For acute: Augmentin(amox/clav.acid)
Ceftin
Rocephin
What are different ototopical agents that can be used to treat otitis externa?
• 2% Acetic acid otic solution (VoSol)
• Polymyxin/neomycin hydrocoritsone solution (Cortisporin Otic Suspension)
• iprofloxacin/dexemethesone (Ciprodex Otic)
• Ofloxacin (Floxin Otic)
• Clotrimazole 1% (Lotrimin)
• M-cresyl acetate (Cresylate)
• Vinegar & alcohol
• Betamethasone dipropionate 0.5% (Diprolene)
• Mineral oil
Which ototopical agent is highly effective and has no risk of ototoxicity?
fluoroquinolones
Name and describe the subcategories of otitis media
• acute otitis media (AOM): less than 3 weeks duration
• recurrent acute otitis media (RAOM): between 3 weeks and 3 months; clears between episodes w/ antibiotics
• chronic otitis media: greater than 3 months duration
unilateral sensorineural hearing loss that is gradual and progressive?
Acoustic neuroma
What are some examples of infectious diseases that can cause hearing loss?
Lyme disease
Syphilis
What is the most common cause of sudden deafness?
Viral
What are the 4 "D"s of vertebrobasilar insufficiency?
• dizziness
• diplopia
• dysphagia
• dropattacks
What is the treatment for vertebrobasilar insufficiency?
antiplatelet medication
What is the treatment for Meniere's Syndrome (aka endolymphatic hydrops)?
• low salt diet
• diuretics
• increased hydration
• corticosteroids