Upload
others
View
15
Download
0
Embed Size (px)
Citation preview
ENT OSCE
1) Pic:
- What is your Dx?!
Hematoma of the Auricle
- What is yours management?!
Incision and drainage with pressure dressing
and prophylactic antibiotics.
- Give one complication?!
Boxers Ear
2) 22 y/o pt. present with Rt. Ear hearing difficulty:
- Describe what you see?!
Rt. Ear perforated tympanic membrane.
The perforation is centrally located at
Anterior superior quarter mainly & it’s dry.
- What type of hearing loss the pt. will
have?!
Conductive hearing loss
Doctor of this course
Dr.Saba Jrar
3) Pic:
- What is your Dx.?!
Acute mastoiditis
- What is your management?!
Cortical mastoidectomy. IV antibiotic and analgesia
- Give 2 complications?!
Intracranial abscess
Meningitis
Facial nerve paresis
4) Pic:
- Describe what you see?!
Normal audiogram at low frequencies with a Dip at 4K Hz
- What is your Dx?!
SNHL due Noise exposure
5) Pic with Hx.:
- Describe what you see?!
Redness and swelling of tip of the nose
(Nasal Vestibulitis)
- What is your management?!
Antibiotics. Anti-congestion, analgesia & Never squeeze
- Give one complication?!
cavernous sinus thrombosis
6) Pic:
- Give 2 changes could be usually found in these
Cases?!
Dull facial expression
Dilated and flattened nose
Open mouth
High vaulted palate
Protruding upper incisor teeth
- What cause these changes?!
Adenoids
- What is your management?!
Adenoidectomy
7) Pic:
- Describe what you see?!
Left glottic mass occupying ant. 2/3 of left vocal
cord.
- What is your Dx.?!
SCC
- Management?!
Surgery or radiotherapy
8) Pic:
- Describe what you see?!
Saddle Nose Deformity
- Give 2 causes?!
Nasal trauma, Wegener granulomatosis (vasculitis)
Relapsing Polychondritis, leprosy, tuberculosis,
Syphilis.
9) Pic:
- What is the most common site where
bleeding occur?!
little’s area
- Give 2 causes?!
Trauma, HTN
- Your management at home?!
Direct digital pressure on the lower nose
compresses the vessel on the septum and
leaning forward
Q1) attico antral CPOM cholesteatoma
- Description
- Dx
- Type of discharge
- Management
Q2) Boxer's ear
- cause
- management
Q3) ottosclerosis description of the audiogram
- Dx
- Treatment
Q4) periorbital cellulitis
- Description
- Dx
- Management
Q5) acute mastoiditis
- Complication
- Management
Q6) grommet tube
- Indications
- Complications
Q7) adenoid facies 2 features
- Cause
- Treatment
“The physician should not treat the disease but the patient who is
suffering from it”
Collected by: Ahmad Al-Masri
Good Luck