click below
click below
Normal Size Small Size show me how
ENT General
EENT
Question | Answer |
---|---|
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 |