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Showing posts with label ENT. Show all posts
Showing posts with label ENT. Show all posts

From emel regarding ENT

THROAT SLIDES from DR. HAZEM

Briefing exam


Pembahagian markah exam ENT

Written exam : 80 marks
Slides/station/OSPE : 40 marks
Oral : 20 marks
Research/ assignment : 5 marks (dr kate kire mcm percuma la)


Bentuk final exam

6 short questions,  5 marks each = 30 marks
2 problem solving, 10 marks each = 20 marks
30 MCQ's, 1 mark each = 30 marks

Total for written exam = 80 marks.

Website ENT department : www.orl-cairo.com

********************************

Important OSPE/slide.
*Mungkin lepas oral exam dlm hari yg sama.
*Note ni mungkin ade yg tak tepat sgt, memandangkan sy tak dapat bace slide kat depan tu. Just tulis ape yg sy dengar. So, kalau ade salah, sile betulkan ok.

Nose
  • Purulent sinusitis
  • Rigid endoscopic examination of nose
  • Normal middle meatus
  • Furunculosis of nasal >>> dangerous area : vestibule. (complication = cavernous sinus thrombosis)
  • Deviated nasal septum (treatment) Symptomatic >>> septoplasty
  • Septal haematoma.(complication = abscess and septal perforation) ttt = drainage 
  • Septal perforation. ttt = Graft/septal button
  • Epistaxis >>> little area
  • Inferior meatus
  • Antrostomy of maxillary sinus (sinusitis)
  • Orbital cellulitis. Complication = orbital abscess. ttt = systemic antibiotic and surgical (but in many cases, doesn't need surgical)
  • Endoscopic enthmoidectomy
  • orbital complication of maxillary and ethmoid sinusitis
  • Foreign body in nose. In children = serious complication. ttt = removal in general anesthesia
  • Oro-antral fistula
  • cyst in maxillary sinus
  • Fluid's level (kat x-ray rasenye)
  • Unilateral nasal polyp. If firm = tumour. 
  • Cancer of maxilla. Characteristic >>> swelling, proptosis, teeth ache, pain in ptrego-maxillary area. ttt = surgical removal (maxillectomy)

Pharynx
  • Adenoid hypertrophy
  • cute tonsillitis
  • Diphtheric and follicular tonsillitis
  • Indication of tonsillectomy in diphtheric condition >>> not responsive to penicillin
  • Pharyngeal and laryngeal diphtheria best treated >>> antibiotic and antiserum
  • Infratonsillar cyst
  • Chronic tonsillitis >>> NOT membranous (membrane present in acute only)
  • Septic focus
  • Oral monoliasis
  • Indication of tonsillectomy (dr suruh chek buku sendiri) V.important.
  • Quinsy. ttt = excision and drainage
  • Parapharygeal abscess >>> occur after tonsillectomy and injury of pharygeal wall
  • Bic's triad (chek balik name die) >>> lead to trismus
  • parapharygeal swell
  • Retropharygeal abscess >>> site
  • cold abscess >>> pott's disease
  • Dental infection >>> ludwig's angina
  • Rhinolalia clausa
  • Lingual thyroid. ttt = if it is the only one present, we need to remove it from mouth and plant it in sternomastoid muscle.
  • Angiofibroma lead to epistaxis
  • Nasopharygeal carcinoma >>> facial pain
  • Trotter's triad (chek balik) >>> CHL, nasal regurge, nasal pain
  • Pharygeal pouch
  • achlalasia of esophagus (cardiac sphincter)
  • Post-cricoid carcinoma. lead to severe dysphagia. ttt = total pharyngolaryngectomy. 
Larynx
  • Normal tube of larynx
  • Vocal polyp
  • singer's nodule
  • bilateral abductor paralysis. its ttt.
  • subglottic stenosis
  • No microlarygeal surgery in congenital subglottic stenosis
  • laryngeal web and its treatment (ttt)
  • laryngomalacia
  • Acute non-specific laryngitis more severe in children >>> dysphagia. Because = short and narrow
  • leucoplakia. Causes = exessive smoking
  • Cancer larynx, its stages and why. (ex; T1 = mobile cord)
  • Thyroglossal cyst
  • tracheostomy and its indication
  • submandibullar tumour
  • extensive parotid tomour

Endotracheal intubation


Epistaxis treatment

Bawah ni dikongsikan video first aid to stop nose bleed,anterios&posterior nasal packing dan cauterization.







tapi ni tak tahu bahasa apa, tak faham apa je, tapi korang tengok la cara dia buat, iA nampak gambaran sikit-sikit...



ORL class 14 Mac




Takyah susah-susah XD


Website ni menghimpunkan segala macam gambar dan segala macam video ORL.
Meh hari-hari disiplinkan diri untuk lepak sini sambil cuci mata

Slide 19/1 (part 3/3)


GLOMUS TYMPANICUM:  Picture of a left tympanic membrane with  a pulsating red mass occupying the inferior portion of the middle ear space.  The rest of the tympanic membrane is normal.



GLOMUS TYMPANICUM:  Magnification of the above picture

Slide 19/1 (part 2/3)


1) Perforations



SUBTOTAL PERFORATION


TRAUMATIC PERFORATION-irregularities of peroration's margin

Perforation at margin of the eardrum
This is a perforation that occurs at the margin of the eardrum - where the eardrum and ear canal come together.
In some cases, skin from the ear canal can grow through the perforation into the middle ear, forming a cholesteatoma.
Perforation at the margin of the eardrum
Central eardrum perforation
A perforation can occur in any location on the eardrum. The size of the perforation varies from a small opening like the one shown, to a total (entire) eardrum perforation.
Central eardrum perforation
Attic perforation of the eardrum
This is a perforation in the superior part of the eardrum. This is sometimes referred to as an attic perforation. A perforation in this location may be associated with a deep retraction pocket or cholesteatoma into the mastoid.
Attic perforation of the eardrum

2) BARATRAUMA



Tentang Baratrauma yang diambil dari http://www.ent.com.hk/diagnosis/ear_diagnosis.html

During diving and flight elevation or landing, the pressure is changing To adapt to it, pressure of middle ear should be changed accordingly by opening up the eustachian tube. Besides swallowing or chewing action, sometimes Valsava maneuver may be needed.  


Barotrauma with Blood in Middle Ear Cavity


However if the eustachian tube function is impaired or the change of depth or height level is too fast, pressure of middle ear cavity cannot be equalized and barotrauma may result. It may injury the ear drum resulting inperforation, middle ear cavity mucosa resulting in bleeding and fluid collection, even the inner ear through the round window causing severe sensorineural hearing loss.






Diagnosis and Treatment:
How to diagnose barotrauma?

  • history of recent flight or diving would be hint for diagnosis.
  • Otoscopic or microscopic examination of the eardrum would show blood or fluid inside the middle ear cavity.  Sometimes perforation of ear drum may occur
  • Pure tone audiogram is necessary as it usually shows conductive hearing loss.  However if inner ear is involved, sensorineural hearing loss may be seen.
How to treat barotrauma?
  • For ear drum perforation, observation is suggested.  If it is not healed up after 3 months eventually, repair by surgical operation is recommended
  • For blood or fluid in the middle ear, observation is suggested.  But it can be drained by myringotomy if it is not subsided after a period of time.
If there is inner ear injury, conservative management such as bed rest and drugs is recommended.  But if hearing deteriorates progressively, surgical exploration and operation would be suggested.

3) CHOLESTEATOMA


ATTIC CHOLEASTEATOMA

4) MASTOID FISTULA 

MASTOID FISTULA 

A fistula exposing the mastoid bone: Caused by a dangerous middle ear infection


6) HEMOTYMPANUM


HEMOTYMPANUM is taken from 

[Figure ID: F1]
Figure 1 Otoscopic images of bilateral spontaneous hemotympanum, after intake of anticoagulants. Upper: hemotympanum of the left ear; lower: hemotympamum of the right ear.

[Figure ID: F2]
Figure 2 CT scan of the mastoid demonstrating bilateral opacity of the tympanic cavity (white arrows).








Slide 19/1 (part 1/3)






Acute otitis media suppurative stage
compare normal drum and AOM
AOM-early (stage of redness)

-if severe AOM ada whitish compression of drums due to absence of BVs
Serous otitis media


Serous OM air fluid level


Mucoid OM-bluish drum due to water content behind the drum



Adhesive OM-glistening light





Atelectasis of middle ear

=reduction in the volume of the middle ear because of eustachian tube obstruction followed by absorption of the oxygen in the middle ear and subsequent retraction of the tympanic membrane medially.



OM lagi dan lagi

Otitis media with effusion=Secretory OM=MucoidOM=SerousOM=Glue ear

Adhesive OM=Atelectatic

Slide dari ORL Alex.

Cholesteatoma





Bacaan Tambahan

Cholesteatoma=AA=unsafe=bony

Middle Ear=Chronic Suppurative Otitis

Nose



Slide 17/1


Haematoma


Normal Tympanic Membrane/Eardrum





Contact dermatitis


Perichondritis




Basal cell carcinoma



Cerumen accumulation

Slides tak jumpa gambar
-2nd degree burn
-Herpes Zoster Shingles
-Frostbite

Ear exam

Ear Examinations dekat sini diceritakan secara teori macam mana nak buat ear exam.

Ada je video untuk ditonton tapi leceh sebab kena download.

Video dekat bawah ni diambil dari website lain.. Dekat website ni ada banyak lagi medical videos yang disusun mengikut branches of medicine.

Myringotomy


Myringotomy is a surgical procedure in which a tiny incision is created in the eardrum, so as to relieve pressure caused by the excessive build-up of fluid, or to drain pus.

Buku ENT

Text books untuk di download yang dicadangkan oleh MedadTeam

Middle ear cavity dan otitis media

Sebelum nak memahami tentang otitis media perlu tahu anatomy dulu.



Pathology, signs and symptoms dan cara-cara nak prevent otitid media in children



Gabungan Anatomy, Physio dan Pathology OM

Pautan buku medik online

Family Practice Notebook (semua branches of medicine ada)

Tekan sini untuk pautan terus ke Otolaryngology 

Ear Anatomy&Physiology