Term
| What is the most important strategy for chronic sinusitis? |
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Definition
| proper ventilation and drainage of the osteomeatal complex. |
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Term
| What is the cause of polyps in children? |
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Definition
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Term
| What does foul-smelling unilateral drainage indicate in a child? |
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Definition
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Term
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Definition
| asthma, aspirin sensitivity, and nasal polyps |
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Term
| What is a very important landmark for a sinus surgeon? |
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Definition
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Term
| What makes up the nasal septum? (3) |
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Definition
| vomer, perpendicular plate of ethmoid, quadrangular cartilage |
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Term
| Which turbinate(s) is(are) composed of it's(their) own bone(s)? |
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Definition
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Term
| Which turbinate(s) is(are) part of the ethmoid? |
|
Definition
| superior and middle turbinate |
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Term
| Hypoxemia can be caused by ? |
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Definition
| increased airway resistance caused by nasal packing and airway compromise |
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Term
| What are the two types of allergy testing? |
|
Definition
| in-vitro (RAST) and in-vivo (Serial End Point Titration-SET) |
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Term
| Which allergy test is best for children and atopical pts? |
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Definition
|
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Term
| What is the risk in delaying assessment and drainage of a septal or auricular hematoma? |
|
Definition
| chance of aseptic necrosis and deformity with cartilage |
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Term
| How do you treat acute external otitis? |
|
Definition
| clean the ear and give antimicrobial ear drops with cortisone |
|
|
Term
| What leads to osetomyelitis of the temporal bone? |
|
Definition
| Malignant external otitis |
|
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Term
| What pt populations are at risk for malignant external otitis? |
|
Definition
| diabetics and immunocompromised individuals with uncontrolled pseudomonas infections |
|
|
Term
| How do you treat pt with malignant external otitis? |
|
Definition
| needs more aggressive treatment including debridement of granulations, oral antibiotics targeting Pseudomonas |
|
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Term
| What should you do in adults with a unilateral middle ear effusion due to Eustachian tube dysfunction |
|
Definition
| check the nasopharynx!! it is a blind area |
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Term
| What can Referred Otalgia tell you about a pt? |
|
Definition
| its a sign of underlying malignancy as well as many benign disorders |
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|
Term
| How do you treat tympanic membrane perforations? |
|
Definition
| NO treatment and keep the ear dry. |
|
|
Term
| How do you treat a tympanic membrane perforation caused by contaminated water injury? |
|
Definition
| treat with topical and systemic antibiotics |
|
|
Term
| What is a life threatening cause of airway obstruction in kids? |
|
Definition
|
|
Term
| When do you scope a kid with suspected acute epiglottitis? |
|
Definition
| In the OR, after the PEDs, ENT, and anesthesiology have been notified. |
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|
Term
| Why should you look for epiglottitis in the OR? |
|
Definition
| Due to the small anatomy of the trachea in a child, any stimulation can cause complete obstruction |
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|
Term
| What is the best situation to use a nasopharyngeal airway? |
|
Definition
| in an alert pt that have a gag reflex or a swollen tongue due to allergies or drug reaction |
|
|
Term
| When should a tracheostomy be performed? |
|
Definition
| difficult visualization of endolarynx, burn victims, trauma pts, neck fractures or mucosal injury |
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Term
| What is always a possibility in kids with cough wheezing and airway issues? |
|
Definition
| Foreign body in right main stem |
|
|
Term
| What are the four types of hearing loss? |
|
Definition
conductive
sensorineural
mixed
processing |
|
|
Term
| What causes conductive hearing loss? |
|
Definition
problems with structures of the middle ear.
eg...Otosclerosis, cerumen, foreign bodies, and structural abnormalities can cause conductive hearing loss. |
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|
Term
| What causes sensorineural hearing loss? |
|
Definition
| nerve related-due to trauma, ototoxic drugs, presbycusis (hearing loss of elderly), Menieres, etc. |
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|
Term
| What causes processing hearing loss? |
|
Definition
|
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Term
| What tells you there is fluid in the middle ear? |
|
Definition
| flat tracing on tympanogram or decreased movement of the tympanic membrane |
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|
Term
| What does the tracing look like on tympanogram for a normally aerated middle ear? |
|
Definition
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