ENT Emergencies Flashcards
What do you use to determine if nasal drainage is CSF or not?
halo sign- blood will stay in middle and CSF will go around it in a halo
Cause of septal hematoma
trauma to the anterior nasal septum
Complications from undrained septal hematoma
Saddle-nose deformity, Septal perforation, Septal abscess
Tx for septal hematoma
Drain and pack. Antibiotics (Augmentin) if abscess suspected IV Clindamycin and admission
Most common facial fracture
nasal fracture
Management of nasal fracture
closed reduction 2-10 days post injury to allow for reduction of swelling
Tx for auricular hematoma
Drain within 7 days, compression dressing, daily follow up for a few days, antibiotics to cover staph
Complicaiont from undrained auricular hematoma
cauliflower ear
Sx include hemotympanum, effusion, otorrhea, hearing deficit, nystagmus, ataxis, battle sign, facial nerve deficit
middle ear injury
Bone that is most commonly involved in basilar skull factures
temporal (75%)
Indicative of basilar skull fracture and middle ear injury
hemotympanum
Drops that are CI in ruptured TM
gentamycin
Test used to evaluate for bite in mandibular fractures
tongue blade test
Unilateral rhinitis, foul odor, epistaxis, pain
nasal foreign body
initial management of epistaxis
blow nose, spray with afrin, lean forward and pinch nares together for 10 minutes