461 likes | 3.08k Views
OTOSCOPY by Professor Dr Hassan Wahba Ear, Nose & Throat Department Faculty of Medicine Ain Shams University. Anatomy. Accessory auricle . Aural atresia. Tags. Preauricular sinus. Absent external auditory canal. Aural atresia.
E N D
OTOSCOPY by Professor Dr Hassan Wahba Ear, Nose & Throat Department Faculty of Medicine Ain Shams University
Accessory auricle Aural atresia Tags Preauricular sinus Absent external auditory canal Aural atresia Congenital aural anomalies due to defects of the 1st pharyngeal arch
Herpes Zoster Oticus (Ramsay-Hunt Syndrome) Pain + Facial paralysis + vesicles
X Never examine patient while standing
R L Tympanic membrane
Hairs Wax Hump Otoscopy (normal findings) Keratin Blood vessels Collapsed external canal in old age
Bead Bee Foreign Bodies
Acute External Otitis (hyperemia & edema) Chronic External Otitis (skin maceration & keratosis)
TRAUMA Perforation External canal clot Hemotympanum Self-inflicted perforation
Diabetic Ear necrosis & granulations on the floor of the external auditory canal
Cancer Exostosis Osteoma Neoplasms of the external auditory canal & auricle Rodent ulcer
Acute Otitis Media (hyperemia, bulging, perforation & finally drainage)
OME Otitis media with effusion (OME) retracted tympanic membrane, fluid level, some air bubbles, no perforation)
Tubes Grommet Grommet T-tube Grommet
Sequelae of non-resolvedotitis media Tympanosclerosis Retraction pocket Attic erosion Atelectasis
Bullous Myringitis bullae on outer surface of tympanic membrane
Tubotympanic otitis media (central perforation)
Atticoantral otitis media (cholesteatoma)(marginal perforation)
Cholesteatoma scanty offensive purulent aural discharge from an attic or posterosuperior marginal perforation with possible cranial or intracranial complications
Aural polyp pedunculated middle ear mucosa or granulation tissue
Glomus Pulsating tinnitus & a red mass behind an intact tympanic membrane
Otoscopic examination in Otosclerosis: Schwartze’s sign (flamingo red) Usual finding is a normal tympanic membrane
EAR NOSE & THROAT by Professor Dr Hassan Wahba Professor of Ear, Nose and Throat Faculty of Medicine Ain Shams University Text and references to help the fourth year undergraduate student 1000 MCQs in ENT by Professor Dr Hassan Wahba Professor of Ear, Nose and Throat Faculty of Medicine Ain Shams University