1 / 13

Entrance

The third European ORL-Board Examination (oral part II,) 1.9.2010 during the ELS 2010 Vienna, University of Music and Arts. University of Music and Art Vienna, Anton von Webern Platz 1, 1030 Wien. Registration. Supervisors from the Austrian Medical Academy. Examroom II. Examroom I.

nicholas-park
Télécharger la présentation

Entrance

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The third European ORL-Board Examination (oral part II,) 1.9.2010 during the ELS 2010 Vienna, University of Music and Arts

  2. University of Music and Art Vienna, Anton von Webern Platz 1, 1030 Wien Registration Supervisors from the Austrian Medical Academy Examroom II Examroom I Part II Oral Examination EBE-ORL-HNS 2010 September 1: 7.00 -18.00 Entrance Internet Porter Buffet Post-exam Waiting Room 1rst floor Courtyard Ways of the Candidates Toiletts Buffet for examiners Chairmen room Preexam Waiting Room

  3. 8.15 Arrival Cand.2 8.45 preexam. Cand.2 10.00 Arrival Cand.3 10.30 preexam. Cand.3 12.15 Arrival Cand.4 12.45 preexam. Cand.4 14.00 Arrival Cand.5 14.30 preexam. Cand 5 9.00 Postexam room Cand.1 10.45 Postexam room Cand.2 Exit 14.45 Postexam room Cand.4 Exit

  4. Countries of the Candidates I First Part II Oral Exam Vienna, Sept. 1 2010 Number of Candidates n=78 Countries of the Candidates II

  5. Part II Oral Exam Vienna Number of Candidates n=78 Not passed n=8, Passed n=70 Results

  6. The third European ORL-Board Examination (first oral part II,) 1.9.2010 during the ELS congress 2010 Vienna, University of Music and Arts 38 Examiners, 4 Supervisors, 6 Guides

  7. Distribution of the 38 Examiners and Supervisors From 13 European Countries for the Oral Exam in Vienna September 1 2010

  8. For the Candidate Case Report: A mother comes with her 14 months daughter to the ENT-Specialist. The baby presents with left retro-auricular redness and fever (39.2 C) of 24 hours duration. She has had an upper airway respiratory infection one week ago. There was no ear drainage, however, she has had purulent nasal drainage. Patients Foto of the retroauricular region Otoscopic Picture Question 1: a) What do you see on the pictures? b) What is your first diagnosis? c) Do you have further questions? d) What is your next step?

  9. For the Examiner Blue Print: Diagnosis, Bacteria, possible complications and treatment of acute otitis media with early mastoiditis. By Ari Sismanis (Athens) Background Information for the examiners Intracranial complications I. Most common is meningitis S. pneumoniae H. Influenzae 2. Cerebral abscess (temporal lobe > cerebellum) 3. Sigmoid (lateral) sinus thrombosis Cannonball chest infiltrates on chest x-ray (CXR) edema and tenderness over the mastoid cortex and is associated with thrombosis of the mastoid emissary vein as a result of lateral sinus thrombosis (Griesinger sign) 4. Jacksonian epilepsy, hemiplegia, and OM indicates a subdural abscess, until proven otherwise

  10. For the Examiner Blue Print: Diagnosis, Bacteria, possible complications and treatment of acute otitis media with early mastoiditis. By Ari Sismanis (Athens) • a. Most common complication is mastoiditis, which may progress toSubperiosteal abscess • Bezold abscess—abscess in digastric groove of SCM • b. Petrous apicitis • 1, Gradenigo syndrome--otorrhea, retro-orbital pain, and lateral rectus palsy secondary to irritation of CN VI within Dorello canal • c. Facial Nerve paralysis: • perform myringotomy, culture, and administer antibiotics • Residual middle ear effusion after treatment • 70% of patients at 2 weeks • 20% after 2 months • 10% after 3 months • 90% of middle ear effusions persistent after an episode of treated AOM resolve within 90 days

  11. 50% ?? Question 1: 20% a) What do you see on the pictures? b) What is your first diagnosis? c) Do you have further questions? d) What is your next step? Diagnosis: Acute otitis media with early mastoiditis Further Diagnostic procedures necessary? Plain-X-ray? CT of the temporal bones ? Question 2: Are further diagnostic procedures necessary? Question 3: Which complications of acute otitis media do you know? It was immediately done: in this case it showed cloudiness of the left mastoid without any destruction of the air cells Question 4: What Therapy would you consider? Acute otitis media (AOM) Causative organisms Streptococcus pneumoniae (40%) Haemophilus influenzae (30%) Moraxella catarrhalis (20%) Question 5: 30% What are the main causative organisms of AOM?

  12. What will be the future of the European Exam ORL-HNS?

  13. We are convinced, that the introduction of the EBE ORL-HNS is a big step forward in the harmonisation process and quality improvement of our speciality in Europe!

More Related