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39 Cards in this Set
- Front
- Back
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Most common cause of post natally aqd hearing loss?
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Bacterial meningitis
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Most common complx of OM?
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TM perforation
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Most common Cause of conducting hearing loss (~ear wax)?
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Otitis media w/ efusion
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Causes of sensorineural hear loss?
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Aqd: infx; menigi (s. pnuemo); meds: aminoglycosides; diuretics; acoustic trauma
-inherited: alport; waardenburg jervell lange neilsen: AR, prolonged QT -isolated: connexin 26 AR |
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prolonged QT, hearing loss; whats genetics; cause?
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jervell lange neilsen: AR, prolonged QT
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Most common bug causing mengitis
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s. pneumo
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Most common isolated hearing loss due to what, sensirinueral? Non syndromic Genetics?
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connexin 26 AR
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Vertigo and sensironeural hear loss leads to what?
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Perilymphatic fistula
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SNHL, and GN?
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Alports
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White forelock, SNHL, deafness, hypertelorism?
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Waardenburg
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SNHL + retitinits pigmentosa; cz, genetics?
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Usher; AR
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SNHL, goiter, balance probs
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Pendrid syndrome
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Syndromic causes of conductive hear loss
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Goldnhar, treacher collins, Downs
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Air conduction abnl; bone conduction Nl;
Pattern of loss: fairly equal across frequencies |
Conductive hear loss
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Both air and bone conduction abnl;
-pattern of loss – worse at higher frequency |
Sensory hear loss
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Peak at negative pressure?
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Retracted ear – Eustachian tube dysfxn
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High peak; center at 0;
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Supermobile TM ~ very compliant TM
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Most common severe complx of OM
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Mastoidtis
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Risk factors of OM?
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Second hand smoke, day care, pacifier; allergies**; URI; bottle feeding
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Most common viral bugs for OM
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Viral : RSH, rhino, influ, adeno;
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Most common bacterial bugs for OM
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bugs: H. influ- non typable; strep pneumo; moraxella
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When do you treat OM?
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< 6 mo; if certain dx in kids < 2 yo;
> 2 yo observe |
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How prevent OM?
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No smoking, no bottle to bed, no pacifier > 6 mo; no daycare
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OM complx?
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Perforation, mastoiditis, meningitis, cholesteatoma; lateral sinus thrombosis; OME
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Redness, pain behind ear, anterior displacement behind ear?
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Mastoiditis
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Hi direct bili, triangular faceis, CHD; genetcis
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Alagilles, AD
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Choelestasis, hi direct bili
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TPN induced
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What test is ab mediated for bili?
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Coombs
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Hi indirect bili; neg coombs
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Spherocytosis (AD) ellliptocytosis
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Southeast asian, Chinese, anemia
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Alpha thal
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AAF, male, jaundice
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G6PD
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Poor feeding, congentical cataracs, Ecoli UTI, urine + reducing subs
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Galactosemia
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Looks Hemolyitic diz of NB but direct ab test (DAT) negative ?
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Homozygous for gilberts
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+ FH anemia, splenectomy
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Spherocystosis
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Kid w/ hear loss, faints
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Prolonged QT, jervell lange nielson, AR
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Orange kid; ate what?
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Sweet pototates
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Large breast mass w/ blue hue
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Deep cavernous hemangioma
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14 yo atutistic child, sudden resp sx, drooling
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Foreign body
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One blue one brown eye? Other sx
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Waardenburg, white forelock , AD
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