ENT Emergencies

Question 1

Bleeiding from the nostrils, most of nose bleeds are this,

Answer 1

Anterior nosebleed

Question 2

Bleeding through posterior nasal aperture, could be accompanied by hemoptysis, hematemesis, melena due to swallowing blood

Answer 2

Posterior nosebleed

Question 3

What are the vessels that form the Kiesselbach plexus?

Answer 3

LEGS: Labial, Ethmoidal, Greater palatine, Sphenopalatine

Question 4

How do you manage continued epistaxis?

Answer 4

If bleeding persists after applying pressure, use topical vasoconstrictors and nasal cautery. Nasal packing can be used if the bleeding site cannot be identified

Question 5

What are the M-CENTOR criteria?

Answer 5

M - Must be older than 3 years
C - cough absent
E - Exudate on the tonsils
N - node enlargement
T - Temperature elevation
OR - young OR old