ent p feldman. the external ear bat ears chondrodermatitis chronica helicis basal cell carcinoma
TRANSCRIPT
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ENT
P Feldman
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The External Ear
Bat ears
Chondrodermatitis
chronica helicis
Basal cell carcinoma
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External auditory meatus
Congenital stenosis
Foreign bodies
wax
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Otitis externa
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Otitis externa
Tragus tender Ear canal swollen, red, weeping Staph pyogenes, pseudomonas, e coli, candida. Swabs unhelpful Gentisone hc, if severe add augmentin If recurrent moisturising cream + hydrocrtiosne
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External ear
Furuncle painful tender tragus
Osteomata smooth hard tender lump in
canal
Malignancy intractable pain, blood
stained discharge, spreads to facial nerve
tm joint, cervical glands.
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Tympanic membrane injury
SymptomsPain, vertigo, deafness, bleeding from ear,
blood clot in meatus DO NOT CLEAN OUT EAR OR INSERT
DROPs Watch tear shouls heal gradually, if
infection present give antibiotics
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Perforated Tympanic Membrane
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Middle Ear
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Otitis Media
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Otitis Media
OrganismsH Influenzae, B strep, Pneumococcus, staph
SymptomsPersitent pain, discharge, temp, deafness,red ear
drum Treatment
Mild painkillersSevere antibiotics
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Complications
Acute mastoiditis Meningitis Facial palsy Labyrinthitis Lateral sinus thrombosis Brain abscess Temporal lobe abscess Cerebellar abscess
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Secretory Otitis Media
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Secretory Otits Media
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Secretory Otitis Media
CausesFollows URTI
SymptomsDeafness, discomfort , pain.
SignsBlue drum, conductive deafness.
TreatmentWait for improvement if not refer
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Chlosteatoma
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Cholosteatoma
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Cholosteatoma
Keratotic material that forms in a retraction pocket in the attic.
Gradually enlarges and erodes the surrounding tissues, destroying the auricles.
Creates a large cavity allowing infection to spread into middle ear and post cranial fossa
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Cholosteatoma
Signs
Chronic discharging ear
Awful smell - cats pee
Management
Refer urgently
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Earache
CausesFuruncleOtits externa Otitis mediaMastoiditisWaxmalignancy
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Referred pain
Dental abscess Tonsillitis Impacted wisdom teeth Tm joint pain Cancer
Post third of tongueThroat temporal arteries
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Tinnitus
Buzzing hissing noise in ears Causes
Any ear disease, loud noises Management
explanationWhite sound from radioUnderpilow microphoneWorse if depressed treat that
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Vertigo
ChronicBenign positional vertigoChronic middle ear diseaseMeniere’s diseaseVertebro basilar ischaemiaAcoustic neuromaPosterior fossa tumourMultiple sclerosis
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Vertigo
Acute
Labyrinthitis
Head injury
Drugs/Alcohol
Vascular
Infection
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Examination
BP Nystagmus Pupils Fundi Cr nerves Neck movements Ear drums
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Management
Prochlorperazine 5mg tds
Cinnarizine 15-30mg tds
Prochlorperazine supp 25mg
If persists for 4-8 weeks refer
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Deafness
Acute onset
? Vascular spasm
Refer immediately
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Deafness
Chronic
Wax
Age
Congenital
Familial
Drugs
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Deafness
Barotrauma
Injury to TM
Infection
Acoustic neuroma
If > 60 no wax or apparent cause refer hearing
aid clinic special forms
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Rareties
Otosclerosis
Famial
New bone formation at stapes
Conductive loss
Aggravated by COC, pregnancy, HRT
Treatment stapedectomy
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Facial palsy
Bell’s palsy
Trauma
Tumour
Infection
Multiple sclerosis
Guillain barre syndrome
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Bells’palsy
Management controversial
If complete get ENT assesment
If resolving watch
If incomplete ? steroids
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The nose
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Foreign bodies
Use wax hook
Caution can push into larynx and lung
Refer if unhappy
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Fractured nasal bones
Swollen Distorted Tender Increased mobilty To a&e
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Deviated nasal septum
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Sinusitis
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Sinusitis
Follows URTI, dental abscess. Injury, blocked
ostia.
Symptoms – ill, temp, facial pain, sinus
tenderness
Treatment – antibiotics, ephedrine nasal drops,
steam inhalations.
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Sinus pain
Symptoms – pain in and over sinuses often
follows urti
Less ill than sinusitis
Causes – blocked ostia
Treatment – ephedrine nasal drops, steam
inhalations
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Swollen cheek
Usually due to dental abscess
Advise see dentist
Antibiotics – amoxicillin or metronidazole
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Carcinoma
Maxilliary antrumCheek swellingSwelling/ulceration buccal alveolar sulcusSwelling ulceration palateEpiphoraProptosis, diplopiapain
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Carcinoma
Nose Nasal obstruction
Blood stained discharge
Epistaxis
Diplopia
Enlarged cervical nodes
Conductive deafness
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Rhinitis
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Rhinitis
Symptoms
Sneezing
Watery nasal discharge
Causes
Allergy – cats, pollens, perfumes
vasomotor
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Non allergic rhinitis
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Rhinitis
Treatment Antihistamines
Cetrizine 10mg
Neoclarityn 5mg
Son of trilludan
Steroid spray Beconase 2 puffs bd en
Flixonase 2 pyf od en
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Sore throat
Causes 70% viral
30% bacterial
Treatment Mild – paracetamol gargles lozenges
Severe – antibitocs penicillinv 250 qds or
erythromycin
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Sore throat
Indications for antibiotics High temp
Enlarged tonsils with exudate
Enlarged cervical galnds
Present >3 days
Very ill ? glandular fever Fbc, paul bunnel, throat swab.
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Tonsillitis
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Tonsillitis
Referral6-8 episodes/yearLasting 2/52Loosing time from school/jobFailure to gain weightDifficulty breathing/swallowing
Progressive unilateral tonsillar enlargement refer ? ca
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Glandular fever
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Quinsy
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Quinsy
Unilateral peritonsillar swelling
High temp
Very ill
Trismus
Admit
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Adenoids
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Adenoids
Normally enlarged age 4-7 years
Can’t visualise
Lateral xray of neck but high dose radiation not
indicated
Refer if recurrent otitis media
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Mouth ulcers
Apthous ulcer
Vincents angina – tender red swelling and
ulceration of gingiva needs antibiotic
Glandular fever
Agranulocytosis
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Mouth ulcers
Herpes
Syphilis
Diptheria
Cancer fails to heal
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Apthous ulcers
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Diptheria
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Syphilis
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Larynx
Injuries
May lead to infection causing perichondritis,
necrosis, fibrosis and laryngeal stridor admit
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Herpectic stomatitis
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Infections
Acute epiglottis Sudden onset high temp
Resp stridor
Distress
Restless
Admit
Cause – h influenzae
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Epiglotitis
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Infections
CroupLower tempSlow onsetLess il
ManagementSteamOral dexamethasoneadmit
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Chronic laryngitis
Misuse of voice Shouting
Talking +++
smoking
Management Voice modulation
Speech therapy
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Vocal cords
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laryngitis
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Stridor
Vocal cord paralysis Ca bronchus
Ca oesophagus
Ca thyroid
Ca pharynx
TB
Aortic aneurysm
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Plummer vinson syndrome
Dysphagia
Weight loss
Tiredness
Anaemia
Pharyngeal web
Precursor to ca oesophagus
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Pharyngeal pouch
Dysphagia
Regurgitation of undigested food
Gurgling noises in throat
Refer
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Ca hypopharynx
Can’t be visualised in pyriform fossa or post cricoid region
SymptomsPain Weight lossHoarsenessLump in neckrefer
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Carcinoma larynx
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Cancers
Hoarseness > 6/52 Ulceration buccal mucosa > 3/52 Oral swellings . 3/52 All red or white patches of oral mucosa Dysphagia > 3/52 Unlareal nasal obstruction with purulent
discharge
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Cancers
Un explained tooth mobility not related to
periodontal disease
Unresolved neck masses > 3/52
Cranial neuropathies
Orbital masses