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1. Current Surgical Diagnosis & Treatment, 12th Edition, Ch. 15, 38.
2. Cummings Otolaryngology Head & Neck Surgery, 3rd Edition, Pediatric Volume, pgs. 118-215 Volume 4, pgs. 2672-2705, 2767-2783, 2979-2986, 3026-3046.
3. Goebel, Joel. “The ten-minute examination of the dizzy patient." Neurology 2001 21(4) 391-398.
1. Discuss the differential diagnosis of otalgia. Discuss the risk factors, presentation, and treatment of the patient with acute otitis media, chronic otitis media, and cholesteatoma.
2. Understand the indications and risks for placement of ventilation tubes.
3. Be prepared to discuss the anatomy of the ear and lower cranial nerves in the context of referred ear pain.
4. Discuss the presentation and risk factors for developing external otitis, and the features that differentiate this diagnosis from other ear infections.
5. Differentiate between routine and malignant otitis externa. What are the risk factors and pathophysiology of this diagnosis?
6. Know the treatment options for sensorineural hearing loss.
7. List four indications for tonsillectomy.
8. Provide a differential diagnosis for throat pain.
9. Discuss the management of peritonsillar abscess.
10. List four indications of adenoidectomy. 11. Be able to name four symptoms associated with adenoid hypertrophy.
12. List the signs and symptoms indicative of a peritonsillar abscess.
13. Describe the clinical presentation and management of the patient with vertigo associated with labyrinthitis, benign positional vertigo, and meniere’s disease. Differentiate between vestibular causes of dizziness and vertigo.
14. Discuss the clinical presentation, evaluation and audiometric findings of the patient with otitis external, drug-induced ototoxicity, noise-induced hearing loss, presbycusis, and sudden deafness.
15. Discuss the evaluation and management of the patient with nasal obstruction, acute and chronic sinusitis.
1. A 44 year old male complains of recurring attacks of dizziness. The attacks first began one year ago. During an attack he is unable to work or drive a car. His primary care physician obtained a head CT without contrast after one of the spells, which was normal. He has a history of ventilation tubes placed during childhood.
2. A 30 year old male presents with a complaint of hearing loss and fullness in the left ear. The hearing loss has progressively worsened over the past year. The ear fullness is constant. He describes an occasional sensation of imbalance, worsened with rapid movements. He has a history of environmental allergies and has been treated with immunotherapy, steroid nasal sprays and antihistamines.
3. A 58 year old woman complains of recurring attacks of dizziness and constant disequilibrium. Her symptoms began approximately 6 months ago after a sudden attack of dizziness. She was evaluated in the Emergency Department and was treated for hypotension and dehydration. Since then she has had recurring attacks of dizziness.
4. A 68 year old male complains of worsening hearing loss and tinnitus in his left ear. He has a distant history of noise exposure working on a farm and using firearms. He has two uncles with hearing loss and tinnitus as well. He has been evaluated by his primary care physician and is currently treated for hypertension, diabetes and hypercholesterolemia.
5. A 50 year old woman presents with a 6 month history of ringing in the ears. The ringing began after a viral upper respiratory infection. Her symptoms of head congestion and nasal drainage have resolved but the ringing continues. She is having difficulty sleeping at night because of the ringing.
6. An 8 year old boy presents with a 2 year history of recurrent drainage from the ear canal and hearing loss. He has a history of recurrent otitis media as a young child, and has had ventilation tubes placed after tonsillectomy and adenoidectomy.
7. A 10 year old girl presents with a 5 day history of left ear pain, hearing loss and ear fullness. She has a history of recurrent otitis media as a young child, and has had ventilation tubes placed after tonsillectomy and adenoidectomy.
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