Most common bacterial cause of otitis media
Streptococcus pneumoniae
Which cranial nerve is responsible for hearing
Cranial nerve VIII (vestibulocochear)
This disease is characterized by the triad of episodic vertigo, tinnitus and hearing loss
Meniere’s disease
First line antibiotic used in acute otitis media
Amoxicillin/clavulanic acid
What are two physical exam findings in a patient with acute otitis media
Bulging tympanic membrane
Reduced mobility of the tympanic membrane when pneumatic pressure is applied
Partial/complete opacification of the tympanic membrane
Erythema of tympanic membrane
Tenderness of the ear
Most common fungal organism involved in ear infections
Aspergillus niger OR candida
Name the two components of the external ear
Auricle/pinna and external auditory canal
Name of tumor that is commonly attributed to hearing loss
Vestibular schwannoma
AKA acoustic neuromas, acoustic schwannomas, acoustic neurinomas, or vestibular neurilemomas
Name of an in-office treatment of BPPV
Epley, Semont maneuvers (Particle repositioning maneuvers)
Repeat blunt trauma can lead to this permanent ear condition
Cauliflower ear
Most common pathogen responsible for otitis externa
Pseudomonas aeruginosa
Name the three ossicles of the middle ear
Malleus, incus, and stapes
Type of vertigo thought to be caused by canalithiasis (calcium debris in the semicircular canal)
BPPV
Class of antibiotics that can cause ototoxicity
Aminoglycosides
Name of the physical exam test that can be used to diagnose BPPV
Dix-Hallpike maneuver
Also head impulse test
Most common anatomic abnormality that can lead to acute otitis media
Eustachian tube dysfunction
Keratinized, desquamated epithelial collection in the middle ear or mastoid that may occur as primary lesions or may be secondary to tympanic membrane perforation or surgery
Cholesteatoma
Immune-mediated condition involving cartilaginous structures and other tissues throughout the body particularly the ears, eyes, nose, joints and respiratory tract. Clinical course is usually episodic. Other features include seronegative polyarthritis and cochlear/vestibular dysfunction
Relapsing polychondritis
Surgical intervention that can aid in management of recurrent acute otitis media
Myringotomy with tympanic tube placement
Retroauricular hematoma (battle sign)
Self-limited disorder thought to be viral or post-viral inflammation characterized by rapid-onset severe vertigo, nausea, vomiting and gait instability
Vestibular neuritis/labyrinthitis
Name of syndrome caused by 22q11 deletion that is characterized by cardiac abnormalities, abnormal facies (posteriorly rotated ears, ocular telorism, bulbous nasal tip), thymic aplasia, cleft palate, hypocalcemia/hypoparathyroidism
DiGeorge Syndrome
Infectious condition in which blisters (bullae) or vesicles develop on the tympanic membrane
Bullous myringitis
Chemotherapy drug that is associated with hearing loss
Cisplatin
What is the name of this physical exam finding
Head thrust test