Final Exam: NR569/ NR 569 (New 2023/ 2024
Update) Differential Diagnosis in Acute Care
Practicum Exam Review with 100% Correct
Verified Answers-
... [Show More] Chamberlain
QUESTION
Auricle hematoma
Answer:
"Cauliflower ear" is a collection of blood underneath the perichondrium of the ear and typically
occurs secondary to trauma.
QUESTION
Physical exam findings of Auricle hematoma
Answer:
contour irregularity of ear with swelling and fluctuant area overlying the ear's cartilaginous
portions. Likely symptoms include pain, paresthesia, and ecchymosis
QUESTION
Treatment for auricle hematoma
Answer:
-Incision and drainage (likely)
-Bolster dressing to reduce dead space, compress and prevent re accumulating blood
-Requires close follow-up
-Referral to Plastic Surgery if cosmetic appearance is a concern
-Hematomas lasting more than 7 days need an urgent referral to an ENT or plastic surgeon
-If recurs, or is not treated, will result in a permanent deformity, also known as "cauliflower ear"
QUESTION
Ramsay Hunt Syndrome (Herpes Zoster Oticus)
Answer:
Ramsay Hunt syndrome (herpes zoster oticus) is a rare, severe complication of varicella-zoster
virus reactivation in the geniculate ganglion, characterized by hearing loss, pain, and vesicles in
the ear or mouth along with ipsilateral facial palsy
QUESTION
symptoms of Ramsay-Hunt syndrome
Answer:
*A painful red rash with fluid-filled blisters on, in and around one ear
*Facial weakness or paralysis on the same side as the affected ear
Ear pain
-Hearing loss
-Ringing in your ears (tinnitus)
-Difficulty closing one eye
-A sensation of spinning or moving (vertigo)
-A change in taste perception or loss of taste
-Dry mouth and eyes
QUESTION
Triad of Ramsay Hunt Syndrome
Answer:
The classic triad consists of otalgia, vesicles in the auditory canal and ipsilateral facial paralysis.
QUESTION
Treatment of Ramsay Hunt Syndrome
Answer:
-Antiviral therapy (acyclovir, valacyclovir)
-Close follow-up to monitor for worsening neurological complications, such as meningeal inflammation
and
subsequent
meningitis,
encephalitis,
and
rarely
peripheral
motor
neuropathy,
myelitis,
or Guillain-Barre
syndrome
(rare)
-There is no evidence to support utilizing glucocorticoids, gabapentin or tricyclic
antidepressants, although several studies do show glucocorticoids may be beneficial with RHS
-Avoid contact with pregnant females who are varicella naïve, as well as immunocompromised
persons and premature/low birth weight infants
QUESTION
Malignant otitis externa (MOE): (Necrotizing)
Answer:
is a life-threatening infection that mainly affects the external auditory canal and skull base, and
the infection can also invade the stylomastoid and jugular foramina.
The disease ends up with osteomyelitis of the tempor [Show Less]