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Ôn tập TMH-ENG

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Machine Translated by Google

SYMPTOMS IN ENT:

- Ear: Ear discharge, Tinnitus, Earache, Hearing loss, Itchy ear, Dizziness, Hearing loss

- Sinus: runny nose, itchy nose, headache, stuffy nose, loss or decreased sense of smell

- Throat: sore throat, swallowing disorders (dysphagia, gagging, painful swallowing), pronunciation

disorders (hoarseness), laryngeal dyspnea, taste disorders

LARYNGEAL DYSPNEA

Characteristics of laryngeal dyspnea: inspiratory dyspnea, laryngeal stridor, divided into 4 degrees (1,

2a, 2b, 3)

Definition, characteristics of each degree, treatment of laryngeal dyspnea


Machine Translated by Google

Nasal congestion syndrome is the most common in ENT

The patient has severe pain in the outer ear. What disease should be considered? otitis externa, inflammation of

the auricle cartilage, herpes.

RELATIONSHIP BETWEEN DISEASES AND OTHM STORIES


- The most common cause of nosebleeds: HIGH BLOOD PRESSURE

Ear discharge with pearly sheen, foul-smelling, white: cholesteatoma mastoiditis


Characteristics
Machine Translated of fluid in otitis media
by Google

The most important cause of otitis media: Eustachian tube dysfunction

3 Bacteria that cause otitis media:

- Streptococcus Pneumonia (15-25%)

- Haemophilus influenzae (50-60%: causes much discomfort due to drug resistance)

- Moraxella caâtrrhalis (12-15%)

Acute otitis media < 3 weeks, chronic: > 3 months

Otitis media occurs more often in children than in adults: because the Eustachian tube is horizontal, shorter and has not

completed its opening and closing mechanism.

Stages of acute VTG: 3 stages: congestion - pus stasis - pus rupture

Complications in VTG:

- Intracranial: VMN, brain abscess (extra-subdural), venous sinus thrombosis

side (high fever, chills, severe earache)

- Extracranial (complications in the temporal bone): Labyrinthitis, peripheral facial paralysis due to

damage to the 7th nerve, petrous osteitis

- Local complications: tympanic membrane perforation

Risk factors for VTG:

- Constitution: age (6-12 months), immunity, cleft palate, craniofacial abnormalities, race

- Environment: daycare, cigarette smoke, pacifiers

- Pathogenesis: Eustachian tube obstruction, respiratory viral infection, children with muscular dystrophy or

First or second arch anomaly

VA:
• Learn the
Machine anatomy
Translated byofGoogle
the Ring structure

Waldeyer

• VA dome and VA nozzle

• Common age: 2-6 years old.

In this age group, VA has immune

function.

• 4-degree adenoid grading: 25-50-75

Level 1: Adenoiditis occupies less than 25% of the posterior nasal opening area.

Level 2: VA occupies 25 - 50% of the posterior nasal opening area.

Level 3: VA occupies 50 - 75% of the posterior nasal opening area.

Level 4: VA occupies the entire posterior nasal opening and spreads to the nasal cavity.

Typical symptoms of adenoids: runny nose (mucus, green snot), stuffy nose 2

beside , Long term mouth breathing => VA face

VA complications:

- Near: rhinitis, sinusitis, otitis media,

retropharyngeal abscess

- Distant: nephritis, arthritis

- Whole body: face, adenoids, malnutrition, disorders

dyspepsia
Indications
Machine and contraindications
Translated by Google for adenoidectomy.

#Indications: -

Infection: Frequent recurrent adenoiditis, adenoiditis combined with (chronic serous adenoiditis, recurrent acute

adenoiditis, chronic adenoiditis with tympanic membrane perforation)

- Obstruction: Loud snoring and chronic mouth breathing (>3 months), obstructive sleep apnea or sleep apnea, adenoid

hypertrophy associated with (corpulmonary disease, growth retardation, dysphagia, voice abnormalities, craniofacial

abnormalities, occlusion abnormalities.)

- Other indications: suspected malignancy, adenoid hypertrophy combined with chronic sinusitis

#Contraindications: -

Acute infection.

- Primary tuberculosis.

- Children with cleft palate.

- Currently in an area with a respiratory epidemic.

How old is residual VA: 15 years old

Complications of adenoid hypertrophy

- Laryngitis, tracheitis, bronchitis, recurrent pneumonia, snoring

See clearly what VA needs to do?

- Anterior rhinoscopy: Nasal cavity filled with pus and mucus, nasal mucosa edema, inferior nasal turbinate edema.

- Nasal and nasopharyngeal endoscopy with Optic.

What is the most suitable age for adenoidectomy?

- Children from 20 months old and above and under 5-6 years old

Pharyngitis and tonsillitis (palatine tonsillitis)


Most common causes of tonsillitis: bacterial, viral, genetic, structural characteristics of the tonsils
surgery (multi-cavity
Machine Translated bymulti-slot).
Google

• Level, symptoms.

Chronic-symptoms

What are the predisposing factors for tonsillitis?

The most dangerous agent in tonsillitis. Abbreviation: GABHS


Machine Translated by Google

Tonsillitis grading

How many points are there on the centor scale?

Processing each centor scale


Machine Translated by Google

Treatment principles in acute

tonsillitis

Indications and contraindications for tonsillectomy

#Indications:

- Chronic tonsillitis recurring many times in 1 year (5 times/year)

- Tonsillitis has caused local complications such as inflammation and abscess around the tonsils.

In this case, antibiotic treatment is needed, incision and drainage of pus is needed, after stabilization, surgery is needed.

Tonsils.

- Tonsillitis causes complications in adjacent tissues. Tonsils are considered as the nest

Infections cause pharyngitis, sinusitis, ear infections as well as laryngitis.

- Tonsillitis causes distant complications every time bacteria are released into the blood causing

dangerous complications such as nephritis, arthritis, and heart inflammation, we also need to remove the

tonsils to resolve the infection.


- Tonsils
Machine thatbyare
Translated too large affect the eating, breathing and pronunciation, and surgery is also indicated.
Google

Tonsils.

#Contraindications.

a. Absolute contraindications:

- Blood and cardiovascular diseases such as prolonged bleeding, severe heart failure...

- Chronic diseases: tuberculosis, diabetes.

b. Relative contraindications:

- Tonsils in acute inflammation. The patient has a sore throat and mucous membranes.

Red congested membrane, high white blood cell count

>10,000. - In the period of local or systemic infection such as boils.

- Women during pregnancy and menstruation.

- Places where epidemics are occurring, especially respiratory epidemics such as flu,

measles, or dengue fever.

- The weather is volatile: it can be too hot or too cold.

- Age for tonsillectomy: older than 5 years old and younger than 55 years old.

If the patient has a sore throat, burning sensation, painful swallowing, and difficulty thinking about what causes sore throat? Tonsils

At what age does the tonsil immune function develop most strongly: 4-10 years old

Distinguishing between bacterial and viral pharyngitis


Sinusitis:
Machine Translated by Google

How many sinuses are there?

Anterior and posterior ethmoid sinus groups

Which sinuses drain into which slit?

Sinus Pain Points Sinus

Pain Points
Diagnosis by EPOS

Paraclinical: what does endoscopy see?

X-ray

CT: indication for scan

Pathogenesis

Complications

Level and side: 12w

Distinguish between bacterial and viral infections

Signs of infection: fever, increased CRP

Anatomy:

The narrowest area of the nasal cavity

What causes one side of the X-ray to be blurry?

Most common complications of sinusitis, most serious complications

Laryngitis

Level, chronic

Reason

Favorable factors

Classification of acute laryngitis

Characteristics of laryngeal dyspnea

What physical signs does chronic laryngitis leave on patients?

What should I do if my voice is hoarse for >3 weeks?

What will a persistent cough do?

Nasopharyngeal cancer
Ranked Translated
Machine in head and neck cancer
by Google

Common age

Driving factors

Most important: early diagnosis

Symptoms for early diagnosis

Nasopharyngeal cancer: sluggish discharge like fish blood color

Strabismus in nerve palsy, oculomotor nerve palsy

Metastatic lymph nodes: cervical lymph node examination: what are the prognostic factors?

GPB in nasopharyngeal cancer

Laryngeal cancer:

The larynx is divided into several parts.

Cancer of the supraglottis, glottis, subglottis. What are the typical symptoms? What is the ranking in the cancer

spectrum? Common age group.

Typical symptoms. Which

region has a better

prognosis?

Which muscle opens the vocal cords and which muscle closes the vocal cords?

CLS: biopsy

Which layer does the arytenoid cartilage belong to?

Cancer in which level of the neck lymph nodes will appear earliest and most?

Which benign laryngeal tumor of precancerous to cause this cancer

Foreign body in food

Throat: why is it called a 4-way intersection?

How many parts does the throat have: 3 parts (nasopharynx, mouth, larynx)

Most common age

Causes: Depending on the

location of the foreign object, the clinical manifestations are as follows. How to handle?

What kind of foreign body is usually stuck in the tonsil? What are the properties of the foreign body?

Stage: 4 stages
Machine Translated by Google
CLS: x-ray

Where are foreign bodies commonly found?

Foreign objects falling into the thoracic esophagus, what is tccn?

Most common complications of DVDA

Foreign body in airway

Which foreign object is more dangerous?

Common locations What

services are common in children and what services are common in adults?

Symptoms of foreign body penetration:

laryngospasm ÿ strong cough

Usually encountered left or right angle bronchus, falls into the alveoli then what?

Foreign body removal is hard or soft tube

Complications

Injury:

Treatment of nosebleeds

Cause: Traffic accident

Nose: Which part of the nose is most vulnerable to injury?

Le-fort

Complications of temporal bone fracture

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