Skip to main content

Puntastic Otosclerosis #ENT

It's a PUNtastic topic . 
To start with the distribution it's common in Indians ( pathologically rich nation , that we are ) and Whites ( racist Dhingra ).
Females are mostly affected but in India males predominate ( females are Pavitra savitris )
Age is 20-40 usually ( Yeh Jawani hai diwani) ( lol, I mean loud music)

The disease doesnot occur alone it is associated with two other diseases ,(teen patti ) . When together for convenience they are given a name called Van der hoeve syndrome ( wonder huiwi ? 😜) 
3 different organs are involved ear ,eye and bone ( bura dekha Ya kaha to haddi todh dungi ) blue sclera , otosclerosis and osteogenesis inperfecta. 

Types 
It's further divided into 3 types :
1. Stapedial OS : biscuit type - OVAL window and footplate of stapes is involved. Conductive deafness.
2. Cochlear type OS : SNHL . Round window & capsule involved. 
3. Histological OS : symptomless . No hearing loss ( no idea why it is even classified . He is too illogical )

Symptoms :
1. Paracusis Willisii : hears better in noisy surroundings .
2. Speech : Monotonous , soft ( robot like ... Fardeen Khan... PMs speech )
3. Hearing loss : painless progressive bilateral ( Pee Pee)
 
Signs :
1. Schwartz Sign : When you look at the tympanic membrane , you see a reddish hue on the promontory ( It blushes a little)
2. Tuning fork tests :
- Rinnie Test : negative ( Rinni says Nai!)
- Weber : lateralised to ear with greater hearing loss ( sympathy !)
-ABC : Decreased in cochlear otosclerosis 
3 . Carharts notch ( car $ heart ) appears dip at 20 dB at 2000 Hz 
4. Stapedial reflex absent after stapes is fixed. (Cold feet?)

Treatment ;
Stapedectomy 
Stapedotomy


Kbye

Comments

Post a Comment

Popular posts from this blog

Experience Based Co Design : BCT Series XXIX

  "Experience-Based Co-Design" we have all witnessed its essence unknowingly . My family home is the example I can reflect on .Growing up I didn't like how my house was designed. We (the whole extended family) wanted my dad to sell the house . Dad let his architect friend design our house and would not sell his house (for obvious reasons!). Mum had to balance out the situation so she decided to make small changes. So, it was one change idea each year .She would talk to us individually and listen to our perspective and review her sphere of influence and the impact /utility the idea had.For my siblings the colors were not welcoming while I pointed the flooring. Mum wanted the stairs to be personalised. My grandparents wanted certain conveniences around the toilets. It took her about 4-5 years to make the house a home that was acceptable . From color preferences to spatial arrangements, each family member contributed insights. The lovely thing about it was , the keystakehold...
10 comments
Read more

Parallel Universe : BCT Series XXX

  Two moments in the ED this week made me realize that I come from a parallel universe. One involved a teenage patient who had applied bronzer that I found while cleaning her skin for a IV cannula which left me surprised as I come from a part of the world where teenagers paint their skin with whitening agents to look more attractive. The second moment was during my teaching session on Organophosphorous poisoning, where I wondered if my accent was causing disengagement . However, I learned that it was simply a rare presentation of organophosphorous poisoning in this part of the world. It felt like I was narrating my adventures from a tropical trek! Have you ever had a moment where your cultural background clashed with your environment ?
Post a Comment
Read more

Undermining in ED - A common sight

Hi all This us again not an original article written by me. but found this article too good, not to reshare. Ill share the link to the orginal article at the end of the post. Having seen this in and out of department since day 1 of working in corporate hospital , felt nice as I found more literature on this topic. I am yet to study in detail about it. A gist of articles and tools you can use to make your or your colleagues life easy.  I would be surprised if you told me that you've never seen or experienced it at some point of your career.But we can work towards making the life easier for our colleagues just by acknowledging it. It happens in the ED , ICU , wards everywhere.   Being a healthcare professional is about lifelong learning, and occasionally getting things wrong. We have a duty to provide feedback to colleagues about this and take on board feedback ourselves. Sometimes when feedback is given, with the intention of improving competence and confidence ov...
11 comments
Read more