What this deck covers
Ear Foreign Body & Trauma in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Acute otitis media; prescribe amoxicillin, Cerumen impaction; irrigate with hydrogen peroxide, Longitudinal fracture; conductive hearing loss most common, Petrous fracture; sudden onset sensorineural hearing loss, Immediate surgical decompression of the facial nerve.
Clinical pearls from this deck
- For a small, non-organic object with an INTACT tympanic membrane in a cooperative child, warm-water/saline irrigation is simplest and effective — direct the stream along the posterosuperior canal wall so water flows behind the object and floats it out. Always confirm TM integrity first. Never irrigate organic matter (beans/seeds swell) or a button battery, and avoid high-pressure jets.
- The first attempt is the best attempt — success is ~93% for ENT vs ~64% for ED staff, and drops to ~64% even in expert hands after one failed try (edema, bleeding, distress, lost cooperation). Canal edema, bleeding, an uncooperative child, or any failed prior attempt are indications to refer to ENT for removal under sedation/GA with the microscope, rather than risking TM/ossicular injury.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
