Category: ENT

Dec 13 2011

Internalize Info of the Week: Lichen Planus Buzzwords

Lichen planus is an autoimmune disease that can cause a rash on the skin, mucous membranes of the mouth and genital area, nails, and head. The exact cause of this condition is not known. There are several key buzzwords associated with lichen planus which will be defined in this post. The entire pathogenesis will not …

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Dec 08 2011

Sudden Sensorineural Hearing Loss

Don’t miss this diagnosis in a patient who presents with unilateral hearing loss occurring within 72 hours and has a normal ear examination. These patients frequently get misdiagnosed as having fluid in the middle-ear or having an infection. It is important to recognize this diagnosis, initiate treatment early, and refer to a specialist so that …

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Dec 02 2011

Deciphering the Weber and Rinne Tuning Fork Tests

The Weber and Rinne tests have been known to show up on boards, and are notoriously confusing and hard to remember. This post addresses what the tests are and how to perform them, interpret them, and remember them. The Weber and Rinne tests are more than just a way to evaluate the Vestibulocochlear nerve (cranial …

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Nov 30 2011

Innervation of the Tongue

Tongue Innervation

The innervation of the tongue is basic anatomy, but can be easily confused due to its complexity. The three basic components of the innervation are motor, sensory, and taste. The motor component to the entire tongue is supplied by the Hypoglossal nerve (CN XII), except the palatoglossus muscle, which is supplied by the pharyngeal branch …

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Nov 29 2011

Initial Evaluation of Cough

Cough is the most common chief complaint for patients who present to their primary care physician. Therefore, it is imperative to have a systematic method of working up the cause. An article published in the Journal of the American Academy of Nurse Practitioners in August 2009 provides a good way of working up cough in …

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Nov 25 2011

Cotton Swabs Should Not Be Put Into Your Ears

I have looked into at least several hundred pairs of ears by now in my medical education, and I have seen the effects of cotton swab usage. It is pretty easy to tell by looking into someone’s ear if they are using them, because there is usually a big glob of wax packed far into …

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Nov 24 2011

Eagle’s Syndrome

When I think of an eagle, I think about America, and when I think about America, I think about the Declaration of Independence, and when I think about the Declaration of Independence, I think about how it was signed with a pen (stylus), and when I think about a stylus, it reminds me of the …

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Nov 19 2011

Internalize Info of the Week: A Frog in Your Throat, the Ranula (Mucous Cyst)

Ever had a frog in your throat? How about a frog under your tongue? This week I came across an interesting case of just that, called a ranula. A ranula is a cyst that is located under the tongue. The name comes from the Latin word for “little frog,” Rana, which is also the scientific …

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Nov 16 2011

Initial Evaluation of Dizziness

I am currently on an ENT rotation and thought it would be helpful to post on a confusing and frequently encountered topic: Dizziness. Dizziness is a common complaint encountered in the primary care setting. However, the term dizziness is very broad. Patients often use the word dizziness to describe vertigo (spinning), disequilibrium (imbalance), or presyncope …

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