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Details

COMPS EENT and INTEG
ear nose throat and skin stuff
16
Nursing
Graduate
05/03/2015

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Cards

Term
cellulitis
Definition
- warm, tender, erythematous, skin taut, inflammation
- keflex
Term
Bites
Definition
- cats and humans
- augmentin or cipro
Term
cellulitis tx (non mrsa)
Definition
dicloxacillin or z pack
Term
MRSA tx
Definition
Bactrim, clinda, or doxy
Term
Head and neck CA
Definition
Oral ulcerated lesion w/ indurated margins
- nontender immobile submandibular lymph nodes
- a sore in the mouth that won't heal
- persistant pain
- URI that won't go away
- blood in sputum
- numb tongue
Term
Criteria for bacterial pharyngitis
Definition
**3 or 4 positive!!!
1. Fever over 100.4
2. Lack of cough
3. Pharyngotonsillar Exudate
4. Anterior Cervical adenopathy
Term
Tx for srep throat
Definition
Penicillin V
OR
Erythromycin (pen allergy), azithromycin
Term
exudative pharyngitis main causitive agent
Definition
S. pyogenes - school children
m. pneumonia - adults
Term
Allergic Rhinitis
Definition
o s/s: Clear discharge, postnasal drip, nasal itch, sneezing, coughing, boggy turbinates
o Tx: Nasal sprays- Flonase, Decongestants, Zyrtec
Term
Hordeolum
Definition
- Stye - tender mass on eyelid
- hurts
- warm compress, topical bacitracin or erythromycin oph.
- IF NOT RESOLVED IN 2 DAYS, REFER TO OPTHAL.
Term
Conjunctivitis
Definition
- bacterial, gonococcal/chlamydial, allergic, viral

- can give cipro/oflox drops
- NO PAIN
Term
Otitis externa: tx
Definition
- cleansing and debridement of ear
- topical otic drops: cortisporin otic
- pain control: NSAIDs, topical corticosteroids
- neomycin, bacitracin, polymixin B, hydrocortisone
Term
OM tx
Definition
amoxicillin
Term
Sinusitis
Definition
s/s: red nasal mucosa, foul-smelling or post-nasal drainage (purulent in bacterial), fever, tenderness over sinuses, pain/pressure over face, nose, cheeks, teeth

DECREASED TRANSILLUMINATION
tx: augmentin, clarithromycin (biaxin)
analgesics, oral antihistamines
Term
Epistaxis
Definition
- usually unilateral
IF EXCESSIVE: dizziness, weakness, confusion, fainting
- sit upright, apply ice and constant pressure on nose, if doesn't stop in 30 min. REFER
Term
Benign positional vertigo
Definition
- Diagnosis based on characteristic history and positive Dix-Hallpike (Nylen-Barany) test.
- Last for seconds at a time and occur only after movement
- Vestibular neuritis and labyrinthitis have continuous often for hours to days
- Treatment: Epley maneuver to move otoliths out of posterior semicircular canal and back into the utricle
- Medications: Meclizine, Scopolamine, Dimenhydrinate, Promethazine, Diazepam
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