<p> Ear & Nose Problems Assumptions </p><p>The student understands the anatomy, function and physiology of the organs and tissues of the head and neck. </p><p>Objectives </p><p>1. Discuss the differential diagnosis of ear pain (otalgia).  consider infection, trauma, neoplasm, inflammation, vascular  contrast etiologies in children versus adults </p><p>2. Discuss the diagnosis, treatment and complications of acute and chronic otitis media.  include indications for myringotomy tube placement </p><p>3. Outline the evaluation of a patient presenting with hearing loss;  differentiate between conductive and sensorineural hearing loss  identify treatable causes. </p><p>4. Outline the evaluation of a patient presenting with tinnitus.  describe the potential etiologies and management </p><p>5. Describe the risk factors, diagnosis and management of epistaxis.  describe the indications and techniques for nasal packing. </p><p>6. Discuss the causes and mechanisms of chronic rhinitis/rhinorrhea.  outline the evaluation and management of chronic rhinitis. </p><p>7. Describe the indications for tonsillectomy. </p><p>8. Outline the evaluation of a patient with a salivary gland mass.  describe the potential etiologies  describe the common tumors of the salivary gland and their management. </p><p>9. Discuss the potential etiologies of oral cavity pain.  include inflammation, infection, neoplasm </p><p>Problems </p><p>1. A 55-year-old woman presents a swelling in the parotid area.  What additional data should be obtained from the patient’s history?  What findings should be looked for on physical exam?  What is the initial testing and management plan? </p><p>2. A 77-year-old woman presents with ongoing nasal bleeding.  What additional data should be obtained from the patient’s history and physical exam?  What is the initial management? </p><p>Prevention</p><p>1. Chewing tobacco as risk for oral cavity neoplasm. </p><p>2. Occupational risks for hearing loss. </p>