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ENT Diseases Chemeketa Community College Paramedic Program Button ENT or EENT? • Typically Ears, Nose, Throat • We will include Eyes Eyes • • • • • • Allergies Stye Conjunctivitis (Pink Eye) Subconjunctival hemorrhage Floaters and spots Cataracts – Cloudy • Glaucoma – Optic nerve damage (pressure) • Diabetic retinopathy • Macular degeneration (central) Eyes Trauma • • • • • • Corneal Abrasion Penetrating or Foreign Objects Chemical Burn Swelling Subconjunctival Hemorrhages Hyphemas and Orbital Blowout Fractures ENT • Otitis externa – Swimmer’s ear • Otitis media • Serous otitis media • Inner ear – Labyrinthitis • Vertigo and hearing loss – Vestibular neuritis • Vertigo only • Meniere's disease Meniere's Disease • Hearing loss – Common cause • Vertigo • Tinnitus ENT • Ruptured ear drum – Otitis media – Barotrauma – Acoustic trauma – Foreign object – Trauma ENT • Epistaxis • Laryngitis • Pharyngitis • Sinusitis Epistaxis • • • • • • Trauma Fracture Altitude Severe stress Weakness of blood vessel Spontaneous hemorrhage among children • Hypertension among the elderly. Epistaxis Treatment • Pressure – Where? • Position Laryngitis • Hoarse voice • Emergency? Laryngitis Causes • Strep • Tonsillitis • Yelling Laryngitis Treatment • Gargle? • Antibiotics? • Surgery? Pharyngitis • Sore throat • Emergency? Pharyngitis Causes • Same as Laryngitis – Strep – Tonsillitis – Yelling Sinusitis • Inflammation paranasal sinuses – Bacterial – Viral (common cold) – Allergic • Symptoms – Headache; facial pain; nasal obstruction; fever; general malaise; thick green or yellow discharge; feeling of facial 'fullness' worsening on bending. Sinusitis Causes • Allergies • Structural problems such as a deviated septum • Smoking • Nasal polyps • Carrying the cystic fibrosis gene ? Sinusitis Treatment • Antihistamines, Decongestants • Antibiotics • Nasal steroids • Surgery ENT • Croup • Epiglottitis • Esophagus –GERD –Varices