Acute ENT 2

Question 1

Epistaxis;
?.
o Estimate ? ?.
Leaning ? and pinch the ? part of the nose for ? minutes.
o Also apply an ? ? to the ? of the nose.
Get IV access.
bloods -> o FBC, ?, ?, group & save. - check ? again before discharge

Answer 1

blood loss
forward
fleshy
10
ice pack
bridge
u+e
coagulation
fbc

Question 2

Epistaxis
Examine the nose.
o Remove any ?.
o Apply ? & ? spray to the nasal mucosa.
o If a bleeding point is seen this can be ?.
• ? ?/diathermy.

Answer 2

clots
vasoconstrictor
anaesthetic
cauterized
silver nitrate

Question 3

Epistaxis
Ex the nose
o If not above (card 2), an ? ? pack can be inserted, with a ? ? if there is posterior bleeding also.
—if use a pack—> • Give ? if in for >?h due to risk of ???.

Answer 3

anterior vaseline
posterior balloon
abx
24
Toxic shock syndrome

Question 4

Epistaxis

If packing fails they will be taken to ? for further ? and ?
surgery if necessary.
o ? of the ? artery as a last resort.

Answer 4

theatre
packing
septal
ligation
sphenopalatine

Question 5

Corneal Foreign Body;

Apply topical ? to the eye.
Use a ? drop at the ? ? to stain ? and enhance
visualisation of foreign bodies.
? the eyelid with a ? ?.
If the foreign body is ? in the ?, get senior help.

Answer 5

anaesthetic
fluorescein
slit lamp
abrasions
evert
cotton bud
embedded
cornea

Question 6

Earache;

Ear pain can be referred from many other structures.

In ?, if there is a preceding ?, suspect acute ? ?;
o Symptoms include ? loss, pain, ? (when the ?? bursts), ? and systemic disturbance.
o Signs are a ?, ? TM.

Answer 6

children
urti
OM
hearing
otorrhoea
TM
fever
red
bulging

Question 7

Earache
- suspected AcOM

• First line treatment is with ?, but ? may be
  required if it fails to resolve or there are ? sequelae.
• Always examine to rule out the possibility of ?, and seek ? advice if in doubt.
• Other complications are ?nerve palsy, ? and
  ? infections.

Answer 7

amoxicillin
myringotomy
neuro
mastoiditis
ent
facial
labyrinthitis
intracranial