1. Name of the location of 90% of epistaxis
2. A genetic disorder that forms AV malformations in the skin, lungs, brain etc
3. Name of posterior vascular plexus in the nasal cavity causing posterior epistaxis
4. 1st line treatment for all epistaxis
5. The common brand name for anterior nasal packing
6. Chemical used in cautery sticks
7. Physically scaring complication of posterior nasal packing with foleys catheter
Coming soon..
Myringitis
Granular Myringitis
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This is a chronic disorder where the outer layer of the eardrum loses its epithelium and is replaced by granulations.
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Symptoms and Signs
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There may be mild discomfort and a discharge from the ear. Sometimes this is smelly.
The images show two cases of granular myringitis.
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Treatment
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This can be very difficult to treat. Try the following:
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1. 1:1 solution of white vinegar and boiled water. Apply drops of this twice daily for three weeks.
2. Topical antibiotic drops as for otitis externa
3. Surgical removal of granulations
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If your patient does not respond to simple applications and cleaning, you should refer to the ENT Department for consideration of surgery.
Bullous Myringitis​
This may be bacterial (strep pneumoniae, Staphylococci), viral (influenza or herpes zoster virus) or fungal.
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Symptoms and Signs
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These are often painful and there may be a conductive hearing loss. The ear will show blisters on the drum or in the ear canal and these may be filled with clear or bloody fluid.
Two cases of bullous myringitis
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Treatment
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Treat these as you would acute otitis media. Pain relief and antibiotics are needed. Bursting the blisters does not really help, so you should leave them alone.
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Disclaimer
This site is for educational purposes only and as such does not replace clinical judgement. The site contains high-resolution images, although mobile compatible. For optimum viewing, please switch to a HD ready computer.
