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NR 569/ NR569
NR 569/ NR569 FINAL EXAM: DIFFERENTIAL
DIAGNOSIS IN ACUTE CARE | QS & AS| GRADE A|
(NEW 2026/ 2027) CHAMBERLAIN
OM with effusion - ANS ✓Presence of fluid in the middle ear without s/s of
acute infection. As fluid builds up in the middle ear and eustachian tube it
places pressure on the tympanic membrane.
Cholesteatoma - ANS ✓Abnormal skin growth or skin cyst trapped behind
the eardrum or the bone behind the ear.
Cholesteatoma symptoms - ANS ✓Hearing loss, foul smelling drainage,
recurrent ear infections, ear fullness, dizziness, facial weakness on the side
of the infection, earache/pain.
Treatment for Choleseatoma - ANS ✓ENT referral, may need surgery.
CT/MRI if extracranial complications suspected. Culture and then IV
antibiotics.
Ramsay Hunt Syndrome - ANS ✓Herpes zoster oticus. Characterized by
hearing loss, pain, and vesicles in the ear or mouth along with ipsilateral
facial palsy. Can be accompanied with vertigo and tinnitus.
Necrotizing Otitis Externa - ANS ✓Otitis externa that spreads To
stylomastoid and jugular foramina. Can spread to osteomyelitis of the
temporal bone.
NR 569/ NR569
, 2
NR 569/ NR569
Which nerves can be affected by NOE - ANS ✓Facial (7)
Glossopharyngeal (9)
Vagus (10)
Accessory (11)
Articular structures - ANS ✓Joint capsule
Articular Cartilage
Synovium
Synovial Fluid
Intra-articular ligaments
Juxta-articular bone
Non articular structures - ANS ✓Tendons, Bursae, muscle, fascia, Bone,
Nerve, Overlaying skin
Articular joint pain S/S - ANS ✓Deep or diffuse pain
Pain or limited ROM
Swelling
Crepitation
Instability
Locking
Deformity
Non-Articular joint pain S/S - ANS ✓Painful during active (not passive)
ROM
NR 569/ NR569
NR 569/ NR569
NR 569/ NR569 FINAL EXAM: DIFFERENTIAL
DIAGNOSIS IN ACUTE CARE | QS & AS| GRADE A|
(NEW 2026/ 2027) CHAMBERLAIN
OM with effusion - ANS ✓Presence of fluid in the middle ear without s/s of
acute infection. As fluid builds up in the middle ear and eustachian tube it
places pressure on the tympanic membrane.
Cholesteatoma - ANS ✓Abnormal skin growth or skin cyst trapped behind
the eardrum or the bone behind the ear.
Cholesteatoma symptoms - ANS ✓Hearing loss, foul smelling drainage,
recurrent ear infections, ear fullness, dizziness, facial weakness on the side
of the infection, earache/pain.
Treatment for Choleseatoma - ANS ✓ENT referral, may need surgery.
CT/MRI if extracranial complications suspected. Culture and then IV
antibiotics.
Ramsay Hunt Syndrome - ANS ✓Herpes zoster oticus. Characterized by
hearing loss, pain, and vesicles in the ear or mouth along with ipsilateral
facial palsy. Can be accompanied with vertigo and tinnitus.
Necrotizing Otitis Externa - ANS ✓Otitis externa that spreads To
stylomastoid and jugular foramina. Can spread to osteomyelitis of the
temporal bone.
NR 569/ NR569
, 2
NR 569/ NR569
Which nerves can be affected by NOE - ANS ✓Facial (7)
Glossopharyngeal (9)
Vagus (10)
Accessory (11)
Articular structures - ANS ✓Joint capsule
Articular Cartilage
Synovium
Synovial Fluid
Intra-articular ligaments
Juxta-articular bone
Non articular structures - ANS ✓Tendons, Bursae, muscle, fascia, Bone,
Nerve, Overlaying skin
Articular joint pain S/S - ANS ✓Deep or diffuse pain
Pain or limited ROM
Swelling
Crepitation
Instability
Locking
Deformity
Non-Articular joint pain S/S - ANS ✓Painful during active (not passive)
ROM
NR 569/ NR569
