CERUMEN IMPACTION
aborashyd83 Cerumen is a protective secretion produced by the outer portion of the ear canalIn most persons, the ear canal is selfcleansingRecommended hygiene consists of cleaning the external opening only with…
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CONTAMINATED EYE MEDICATIONS
Ophthalmic solutions are prepared with the same degree of care as fluids intended for intravenous administration, but once bottles are opened there is always a risk of contamination, particularly with…
NASAL POLYPS
are pale, edematous, mucosally covered masses commonly seen in patients with allergic rhinitisThey may result in chronic nasal obstruction and a diminished sense of smellIn patients with nasal polyps and…
NASAL VESTIBULITIS S AUREUS NASAL COLONIZATION
Inflammation of the nasal vestibule may result from fol- liculitis of the hairs that line this orifice and is usually the result of nasal manipulation or hair trimmingSystemic antibiotics effective…
APHTHOUS ULCER CANKER SORE ULCERATIVE STOMATITIS
Aphthous ulcers are very common and easy to recognizeTheir cause remains uncertain, although an association with human herpesvirus 6 has been suggestedFound on freely moving, nonkeratinized mucosa (eg, buccal and…
THYROGLOSSAL DUCT CYSTS
Thyroglossal duct cysts occur along the embryologic course of the thyroid’s descent from the tuberculum impar of the tongue base to its usual position in the low neckAlthough they may…
CERVICAL VERTIGO
Position receptors located in the facets of the cervical spine are important physiologically in the coordination of head and eye movementsCervical proprioceptive dysfunction is a common cause of vertigo triggered…
MIDDLE EAR NEOPLASIA
Primary middle ear tumors are rareGlomus tumors arise either in the middle ear (glomus tympanicum) or in the jugular bulb with upward erosion into the hypotympanum (glomus jugulare)They present clinically…
NOISE TRAUMA
is the second most common cause of sensory hearing lossSounds exceeding 85 dB are potentially injurious to the cochlea, especially with prolonged exposuresThe loss typically begins in the high frequencies…
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
ESSENTIALS OF DIAGNOSISHistory of cigarette smokingChronic cough, dyspnea, and sputum productionRhonchi, decreased intensity of breath sounds, and prolonged expiration on physical examinationAirflow limitation on pulmonary function testing that is not…