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Flashcards in Outer Ear Disorder Deck (37):
1

Where is hematoma of pinna

B/w perichondrium and cartilage

2

Hematoma of Pinna : Tx

I + D *early
Drain clot if needed
Pressure dressing w/ 2-day follow-up
Prophylactic ABX 3-5 days

3

Cerumen impaction : presentation

Pain
Pressure
vertigo
Hearing loss

4

Cerumen impaction : Tx

Irrigation
Ear wax softener (Debrox, Cerumenex, Docusate)*no if TM perf

5

Cerumen impaction: irrigate w/ TM perf?

NO

6

Curette usage ...

With caution

7

How can patients ear irrigate at home?

Bulb syringe

8

Bug in ear : kill with

Lidocaine jelly
Alcohol
Mineral oil

9

Foreign body in ear : presentation

Children ( <8 yrs)
Otalgia
Otorrhea (blood/smell) - long time
Hearing loss, N/V
NO FEVER, URI

10

Otic Foreign body : removal

*Atraumatically*
Irrigation
Suction
Forceps
Balloon catheter

11

Do NOT irrigate ear if

TM perf
Foreign matter absorbs water
Battery

12

How to dissolve styrofoam in ear?

Acetone

13

Otic Foreign body aftercare

ABX drops

14

Otitis externa bug

Pseudomonas
(Warm, wet)

15

OE : cause

Canal trauma
Bacterial
Fungi/yeast

16

OE : s/s

Fever
Hearing change
Otorrhea
Canal swelling/full

17

OE : physical exam

Tragal tenderness
Periauricular adenitis
SPECULUM: Erythema, epithelial edema, moist debris
TM: mobile

18

Acute OE

Swimmers ear

19

Chronic OE

> 6 weeks
FB, hearing aid

20

Eczematous OE

Psoriasis, eczema

21

Necrotizing/malignant OE

Into deeper tissues
DM/immunocompromised

22

OE : dx

None
If mastoiditis: temporal CT

23

OE : Tx

Topical drops
Analgesic
Pope/ear wick
MAYBE oral ABX, admit (necrotizing)

24

OE : antibiotic drops

Acetic acid
Cortisporin otic (neomycin, polymixin B, hydrocort)
Ofloxacin, Ciprodex
Clotrimazole
ECZEMA - acetic acid/aluminum acetate
FUNGAL - tinactin/micatin

25

Middle Ear Trauma : damage to

TM perf
Ossicles
Middle ear hematoma

26

ABX for TM perf?

Otitis media - YES
Trauma - YES (prophylactic)
Auditory - NO

27

TM perf physical abuse red flag

Bilateral for no good reason

28

TM perf : cause

Abuse, FB, Irrigation/cleaning, OM, Barotrauma

29

TM perf : s/s

Otorrhea
Hearing changes/tinnitus
Pain

30

TM perf : signs

Traumatic - lack discharge
Weber - lateralize to perf side

31

TM perf : management

Dry
Refer Audiology/ENT
INFXN: Cortisporin Otic , Ciprofloxacin Opthalmic (ciloxan)
TRAUMA: no abx

32

Barotrauma : s/s

Abrupt pain onset
Ear fullness
Conductive H.L.
Dizziness/vertigo/N/V
Tinnitus
Facial paralysis

33

Barotrauma: from

AIR TRAVELERS
Scuba
Hyperbaric O2 chamber
Blast injury

34

Barotrauma : Tx

Open eustachian tube
Rx: antihistimine, decongestants, ABX prevent infxn
SEVERE: surgery

35

Middle Ear Hematoma : cause

Basilar scull fracture(??)

36

Middle Ear Hematoma : Tx

Watch
No ABX (unless infxn)
Refer audiometry/EMT

37

Middle Ear Hematoma: prognosis

Hearing back in 6 -8 weeks
(If no ossicle fracture)