Shared Flashcard Set

Details

ENT
FM
55
Health Care
Graduate
07/29/2009

Additional Health Care Flashcards

 


 

Cards

Term
hearing loss is most commonly d/t
Definition

1. cerumen impaction

2. auditory tube dysfxn w/ URI

Term
dysfxn of external or middle ear
Definition
conductive HL
Term
4 mechanisms of conductive HL
Definition

1.obsxn

2. mass loading (effusion)

3. stiffness effect

4. discontinuity

Term
which type of hearing loss is correctable by surgery?
Definition
conductive HL
Term
deterioration of the cochlea, d/t loss of hair cells
Definition
sensory HL
Term
which frequency of HL occurs w/ sensory
Definition
high freq.
Term
what are the most common types of sensory HL
Definition

1. presbycusis

2. noise exposure

3. trauma

4. meds

Term
which type of HL is bilateral symmetrical
Definition
sensory
Term
lesion of the 8th CN, or hearing centers of the brain
Definition
neural HL
Term
BC>AC
Definition
conductive HL
Term
AC>BC
Definition
sensorineural HL
Term
most common sx of foreign body in ear
Definition
pain
Term
erythema and edema of ear canal w/ purulent exudate.  possible recent H2O exposure
Definition
external otitis media
Term
tx of external OM
Definition

topical amynoglycosides

steroids

Term
flucuating hearing w/ discomfort w/ change in pressure.  "fullness in ear"
Definition

auditory tube dysfxn

 

decr motility w/ pneumatic otoscopy

Term
tx of auditory tube dysfxn
Definition

decongestants

force exhalation w/ closed nostrils

steroids

Term
blocked auditory tbe for extended amts of time--> neg presure-->fluid
Definition
Serous OM
Term
dull, hypomobile TM w/ air bubbles in middle ear
Definition
serous OM
Term
tx of serous OM
Definition

like auditory tube dysfxn

steroids, antihistamines, abx

 

tubes

Term
purulent material behind middle ear, ppt by viral infxn, canal edema
Definition
AOM
Term
most common pathogens of AOM
Definition

strep pneumo

h flu

strep pyogens

Term
tx for AOM
Definition

abx + decongestants

amox>erythromycin

Term
Most common intracranial complication of ear infxn
Definition
CNS infxn
Term
perception of abnormal ear or head noises
Definition
tinnitus
Term
presence of sensory HL, intermittent mild high pitched tinnitus for several mins in normal hearind indv.
Definition
persistent tinnitus
Term
tx of persistent tinnitus
Definition

avoid excessive noise, ototoxic agents

lidocaine

anti-depressants

Term
sounds of heartbeat in ears
Definition

pulsatile tinnitus

 

***could be vascular! --> MRI

Term

middle ear spasm, and palatal myoclonu

"popping noises"

Definition
staccato "clicking" tinnitus
Term
sensation of motion when there is no motion / exaggerated sense of motion
Definition
vertigo
Term
sudden onset, tinnitus, HL, HORIZONTAL nystagmus
Definition
peripheral vertigo
Term
gradual onset, vertical nystagmus
Definition
central vertigo
Term
peripheral nystagmus beats _____ from affected side
Definition
away
Term
distention of endolymphatic compartment of inner ear
Definition
meniere's sx
Term
tx of menieres sx
Definition
low salt diet, HCTZ
Term
most common cause of vertigo following head injury
Definition

labrynthine concussion

 

**basilar skull fx

Term
in which type of vertigo is auditory fxn spared?
Definition
central vertigo
Term
tx of vertigo
Definition
antihistamines, anticholinergics, sedative hypnotics
Term
causes of viral rhinitis
Definition
rhinovirus, adenovirus, ect
Term
causes of acute sinusitis
Definition

s. pnuemo

h flu

s. aureus

mycoplasm

Term
tx of acute sinusitis
Definition

amox

bactrim

cephs

quinolones

macrolides

Term
pale nasal turbinates, visible polyps,
Definition
allergic rhinitis
Term
most nosebleeds occur in the
Definition
anterior nasal cavity
Term
tx of oral lichen planus
Definition

steroids

cyclosporines

retinoids

Term
lacy leukoplakia, may be erosive
Definition
oral lichen planus
Term
needed to dx oral lichen planus
Definition
bx
Term
do hoarseness cough and coryza indicate strep pharyngitis
Definition
NO
Term
shaggy white-purple exudates suggest
Definition

mono

 

(+) heterophil agglutination test or incr anti-EBV titer

Term
what drug should be avoided when tx mono d/t rash
Definition
ampicillin
Term
LGF and gray psuedomembrane
Definition
diptheria
Term
parotid/submandibular swelling, and pain.  w/ dehydration.  ductal obsxn-->stasis-->infxn
Definition

sialadenitis

 

(staph aureus)

Term
which salivary duct is more commonly blocked w/ stones
Definition
whartons>stenson's
Term
rapidly developing sore throat. odynophagia out of proportion to PE findings
Definition
epiglottitis
Term
is indirect layrngoscopy safe in adults, kids, both
Definition
adults ONLY
Term
most common cause of hoarseness
Definition

acute laryngitis

 

tx w/ emycin if bacterial

Term
chronic hoarseness in smokers
Definition

laryngeal leukoplakia

 

laryngoscopy and bx!

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