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14 Cards in this Set
- Front
- Back
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malignant otitis media
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- otitis media that spreads to adjacent bone
- pathognomonic: granulation tissue on floor of bone-cartilage junction - seen in elderly with DM, HIV, hx of aural irrigation of cerumen - can progress to CN palsy - usually pseudomonas |
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Ramsay Hunt syndrome
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-Herpes Zoster : ear pain, vesicles, facial paralysis
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pseudomonas tx
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- fluoroquinolones, anti-pseudomonals (piperacillin, ticarcillin)
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presbycusis
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- sensioneural hearing loss in eldery
- effects high frequency - difficult to discern speech in noisy, distracting environment |
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treatment of external otits media?
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- first step is to clean the ear: remove wax, dead skin, debris, do not put in hydrogen peroxide unless you can visualize the tympanic membrane
- after cleaning put in ear drops |
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dizzy, decreased hearing and ringing in ear
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- meniere's disease
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most common condition associated with scuba diving
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- ear barotrauma
- increased risk in those with allergic rhinitis- blocks drainage - pseudoephrine decreases trauma, take it |
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medical d/o that cause chroninc sinusitis
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- AIDS, kartagener's, granulomatosis with polyangiitis (wegener's)
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Wegener's
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- granulomatosis with polyangiitis
- glomerulonephritis, chronic pneumonitis, ulceration of nasopharyngeal mucosa |
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snoring vs OSA
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- do test for OSA only if sx of daytime hypersomnolence, nocturnal choking, gasping, apnea with O2 desat, hypertension
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evaluation of rhinitis if dx is unclear?
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- do nasal cytology
- if PMNs then infx cause - eos = allergic - no nasal eos: vasomotor rhinitis |
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patient swallows fish bone, lodges in throat
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- urgent endoscopy b/c risk of perf
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early stage tumor on vocal cord
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- radiation or laser excision
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anterior epistaxis tx
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- nostril pinching
- localize and cauterize site of bleeding with pressure with cotton w/ vasoconstrictor |
