22 - ENT Flashcards
1
Q
source of blood in ant and post epistaxis
A
ant - keisselbach’s
post - shenopalantine
2
Q
step to manage epistax
A
- ABC
- pressure on ant. cart.
- topical vasoconstrictors - cocaine or lido
- pack
- possible silver nitrate cautery
3
Q
def. pharyngitis
A
inflammation of the pharynx and tonsils
4
Q
causes of pharyngitis
A
- viral most common
2. streps
5
Q
mgmt of pharyngitis
A
- ABCs
- analgesia, antipyretic
- ABx - centor crits
6
Q
centor criteria for pharyngitis
A
- tonsillar exudate
- anterior cervical lymphadenopthy
- fever >38
- absence of cough
if have 2+ then give rapid strep test
4+ then Tx - penicillin
7
Q
def. epiglottitis
A
cellulitis of epiglottis
8
Q
Sx of epi
A
- prodrome of URTI
- severe sore throat
- tenderness of hyoid bone
9
Q
investigation and finding for epi
A
X-ray
- thinkened enlarged epi
- obliteration of vallecula
- ballooning of hypopharynx
10
Q
Tx of epi
A
consult ICU/ENT
- IV cerftriaxone 1g
11
Q
def. peritonisillar abscess
A
infection from the tonsils
- polymicrobial
12
Q
signs and Sx
A
- febrile
- dehydration
- hot potato voice
- enlarge tonsil with exudate
13
Q
Tx of tonsillar abscess
A
- ABCs
- supportive
- clindamycin 600mg IV
- drainage with ENT
14
Q
patho or retropharyngeal abscess
A
- in children from the nodes in retro
- can also be from cellulitis or fish bones
15
Q
signs and Sx
A
- odynophagia, dysphadia
- neck pain and stiffness
- portable X-ray
