Precise ENT
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ENT disorders and their treatment
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Otitis media is a very important topic, please read it carefully πŸ™β€οΈ

πŸ–‡The commonest cause of Acute Otitis Media is blockage of eustachian tube.
πŸ–‡The commonest symptoms of Acute Otitis Media is earache.
πŸ–‡ The most common causative organism of Acute Suppurative Otitis Media is streptococcus pneumoniae "pneumococcus".
πŸ–‡The most common intracranial complications of Chronic
Suppurative Otitis Media is meningitis.
πŸ–‡The most fateful/ deadly intracranial complications of Chronic
Suppurative Otitis Media is brain abscess.
πŸ–‡Regarding to Chronic Suppurative Otitis Media:-
1/Safe type: copious, mucopularent, odorless and intermittent discharge+perforation in
pars tensa ((central)).
2/Unsafe: scanty, offensive and continuous discharge+perforation in pars flaccidv((marginal)).
πŸ–‡Impendence audiometry shows Type B curve in Serous Otitis Media.
πŸ–‡The commonest cause of conductive hearing loss in children is Secretory Otitis Media.
πŸ–‡The risk factors of Diffuse Otitis Media are diabetes, excessive sweating and swimming.
πŸ–‡The main symptom of Otitis Media with Effusion is CHL.
Please read Hearing loss in and outπŸ™β€οΈ
It is explained in channel with notes and questions, just search about it.

πŸ–‡Test of hearing in infants= auditory brain stem response.
πŸ–‡New born screening=otoacoustic emissionis objective test of hearing.
πŸ–‡Conductive hearing loss affects both external and middle ear.
πŸ–‡Most common cause of bilateral sensorineural hearing loss
in elderly patients=presbycusis.
πŸ–‡The main presenting symptom of ear wax is CHL.
πŸ–‡Patient with otomycosis presents with earache and intense itching.
πŸ–‡Ear washing is contraindicated in impacted vegetable foreign body.
Ω„Ψ£Ω†Ω‡Ψ§ Ψ­ΨͺΩ…ΨͺΨ΅ Ψ§Ω„Ω…Ψ§Ψ‘ فΨͺΩƒΨ¨Ψ± زيادة وΨͺقفل زيادة.
πŸ–‡The causative organism of malignant otitis externa is pseudomonas aeruginosa.
πŸ–‡Facial palsy is common in Malignant Otitis Externa.
πŸ–‡Earache increases with jaw movement in Localized Otitis Externa.
πŸ–‡Paracusis willisii means hearing better in a noisy environment.
πŸ–‡Fluctuating hearing loss, fluctuating tinnitus and episodic
vertigo=Mennire's disease.
πŸ–‡Benign Paroxysmal positional vertigo is the most common cause of vertigo.
πŸ–‡Acoustic neuroma is benign tumor which arises from schwann cells ofvestibular nerve.
πŸ–‡Perforation associated with cholesteatoma occurs in pars flaccida.
Very important topics in Ear, but don't forget the othersπŸ™β€οΈ
-Otitis externa.
-Ear wax "especially its management".
-Otitis media.
-Meniere's disease.
-Benign paroxysmal positional vertigo.
-Hearing loss+tests.
-Facial palsy.
-Glomus tumor.
-Acoustic neuroma.
Let's take some notes🌚πŸ”₯
πŸ–‡Bull Neck=Diphtheria.
πŸ–‡The main symptom of acute upper respiratory tract obstruction
is stridor.
πŸ–‡The most common causative organism of common cold is rhinovirus.
πŸ–‡The most common cause of upper respiratory tract obstruction in children is CROUP.
πŸ–‡The most common foreign body in children is peanuts.
πŸ–‡The best way to remove foreign body is rigid bronchoscopy.
πŸ–‡The most common cause of bilateral vocal cord paralysis is thyriodectomy.
πŸ–‡The cause of death in patients with tracheostomy is tube falling out.
πŸ–‡The most common congenital laryngeal disorder is laryngomalacia.
πŸ–‡ Diplopia in NPC=abducent nerve involvement.
πŸ–‡The most common tumor which produces metastasis to cervical lymph nodes is NPC.
πŸ–‡ The commonest malignant laryngeal tumor is SCC.
πŸ–‡The most common type of tumor of larynx is SCC.
πŸ–‡The most common type of laryngeal tumor ((according to the site of larynx)) is glottic carcinoma.
πŸ–‡The earliest symptom which occurs in glottic carcinoma is hoarseness of voice.
Very important topics in Throat, but don't forget the othersπŸ™β€οΈ
-Tonsillitis.
-Acute epiglottitis.
-CROUP.
-Laryngeal diphtheria.
-Ludwig's angina.
-Laryngiomalacia.
-Foreigen bodies.
-Vocal cord paralysis.
-Nasopharyngeal tumors.
-Laryngeal tumors.
πŸ“Operations"indications, contraindications and complications":
-Tonsillectomy.
-Adenectomy.
-Myringoplasty.
-Bronchoscopy.
-Tracheostomy in and out.
-Haemorrhages.
Important tables from Precise ENT bookπŸ‘†
Read it wellπŸ™β€οΈ
Good morning πŸ™β€οΈ
πŸ–‡Acute frontal sinusitis=frontal headache "periodic".
πŸ–‡The most common cause of viral rhinosinusitis is rhinovirus.
πŸ–‡The most common cause of bacterial rhinosinusitis is streptococcus pneumoniae.
πŸ–‡The most common site of nasal polyp is anterior ethmoidal sinus.
πŸ–‡Nasal polyp are most commonly bilateral except antrochonal polyps is mostlyunilateral.
πŸ–‡ The most common type of chronic rhinitis is vasomotorrhinitis.
πŸ–‡Lupus+leprosy=perforation in cartilaginous part of nasal
septum.
πŸ–‡Syphilis=perforation in bony part of nasal septum.
πŸ–‡Young child presented with
unilateral nasal obstruction and offensive discharge=foreign body.
πŸ–‡Muddy discharge=fungal infections.
πŸ–‡The commonest cause of epistaxis in children is nasal picking.
πŸ–‡The most common cause of epistaxis in young adult is trauma.
πŸ–‡The major cause of epistaxis in elderly people is hypertension.
πŸ–‡The commonest site of bleeding in HTN patients is wood rough's area
πŸ–‡The most common cause of epistaxis is idiopathic.
πŸ–‡The most common site of nasal bleeding is little area.
πŸ–‡The commonest cause of septal heamtoma is trauma.
πŸ–‡The most common type of epistaxis is anterior epistaxis.
πŸ–‡The most severe type of epistaxis is posterior epistaxis.
πŸ–‡Bleeding above the level of the middle turbinate= anterior and posterior ethmoidal arteries.
πŸ–‡Bleeding below the level of middle turbinate=branches of sphenopalatine artery.
πŸ–‡kisselbach's area:-
-anterior eithmoidal artery.
-greater palatine artery.
-sphenopalatine artery.
-superior labial artery.
πŸ–‡Little area=anterior nasal septum.
πŸ–‡The most common malignant sinonasal neoplasm is SCC.
πŸ–‡The most common site of paranasal cancer is maxillary sinus.
πŸ–‡The most common benign sinonasal neoplasm is osteomas.
πŸ–‡The most common benign nasopharyngeal neoplasm is juvenile angiofibroma.
πŸ–‡Patient with NPC commonly presents with neck mass.
Very important topics in Nose, but don't forget the othersπŸ™β€οΈ
-Epistaxis.
-Rhinitis.
-Paranasal sinus diseases.
-Nasal polyps.
Otitis media is more common in Children.
Final Results
98%
True
2%
False
Precise ENT
Otitis media is more common in Children.
Well doneπŸ‘πŸ‘πŸ‘β€οΈ
β€’Bacteria and viruses can grow when fluid becomes trapped inside.
β€’Young children are more likely than adults to get ear infections because their eustachian tubes are shorter, narrower and horizontal.
β€’This makes it easier for bacteria to get in and more difficult for fluid to drain.