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ENT General


risk factors for AOM <2 yo; bottle fed; prematurity; smoker in house; daycare; native american
recurrent OM = 3 episodes AOM in 6 mos or 4 in 1 yr
sinusitis Abx tx 1st - amoxil or cefuroxime (ceftin); PCN allergy: biaxin, azithro, bactrim; 2nd: Aug or levaquin
Vertigo DDx vestibular (BPPV, meniere, vestibular neuritis, labyrinthitis), neuro (migraine, MS, stroke), CV (syncope, ortho hypotension)
Laryngitis persistence may lead to polyps; M cat or H flu; erythromycin
Pharyngitis: GABHS fever >38C, cervical LA, no cough, tonsillar exudate
vestibular vertigo DDx: sx duration BPPV <30 sec, meniere min to hrs, vestib neuronitis: days
vestibular vertigo DDx: sx provoked by: BPPV specific posn changes; vestib neuronitis: any changes; meniere dz tinnitus/n/v, not provoked by posn change
vertigo testing dix-hallpike: +BPPV rotatory nystagmus; audiogram: nl BPPV/vestib neuritis, low freq SNHL in meniere
vertigo tx BPPV: epley; vestib neuritis meclizine/valium; meniere low salt/ acetazolamide
Created by: Adam Barnard Adam Barnard