ENT

Question 1

Bells palsy tx

Answer 1

Pred PO <72hr presentation

Question 2

Anatomy?

Epistaxis = profuse - both nostrils + bleeding site cannot be identified on speculum examination - Dx? What to do?

Admit:

• kids < ?yr #pathology
• ?
• comorbidities = ?

1. ?

• -Leaning forward = decreases BF through nasopharynx
• minimize blood swallowing @pharynx.

2. After 10-15mins:
   - Bleed STILL continue = ?
   - Bleed stop = ? - Avoid what? Apply what?
3. PCR? ENT reg do what?

Answer 2

Kisselbach Plexus #Little’s Area

Posterior Bleed - ADMIT

Admit:

• kids < 2yr #pathology
• bleeding dx/haem-malig
• comorbidities = HTN/CAD

1. Hippocratic Method
   -Lean forward
   -Open-Mouth-Breathing*
   -Pinch the cartilaginous (soft) part of the nose
   #10-15mins

• -Leaning forward = decreases BF through nasopharynx
• minimize blood swallowing @pharynx.

2. After 10-15mins:
Bleed STILL continue = A+E
Bleed stop = Self-care: 
-Avoid Picking/Valsalva/Hot-drinks
-Naseptin / Mupirocin @peanut/soya allergy

3. • Packing for <2d @cautery fail OR can’t see bleed-point #RapidRhino
   • Cautery @bleed-point seen
   • Rigid nasoendoscopy +/- Floseal
   • Reg = sphenopalatine artery ligation