ENT Emergencies

Question 1

What should you first ask the patient when they present with Otitis Media?

Answer 1

ask pt if they have hearing loss

Question 2

Excruciating painful ear (radiating to the face)
Vesicles may be present over the TM or in the EAC
Usually “older” patients with positive history of shingles

what is it called if there is facial nerve paralysis

Answer 2

Herpes Zoster Oticus

facial nerve paralysis - Ramsey-Hunt Syndrome

Question 3

what should you always to with pts that present with hearing loss and have a temporal bone fracture?

Answer 3

Document status of facial nerve asap!

Question 4

What types of epistaxis are the following responsible for:

1. Kesselbauch’s Plexus
2. Woodruff’s Plexus?

Answer 4

1. Anterior

2. Posterior

Question 5

What are 3 organisms involved with Acute sinusitis? What should you do?

Answer 5

1. Strep pneumonia
2. Haemophilus influenza
3. Moraxella catarrhalis

7-10 of Amoxicillin

Question 6

What is the definition of Chronic Sinusitis

Answer 6

failed 21 days of abx

Question 7

what are 4 criteria for Peritonsillar Abscess (PTA) that you need 3 for diagnosis?

Answer 7

1. Palatal bulge
2. Uvular deviation
3. Trismus
4. Otalgia

Question 8

Rapidly progressing, firm, “Brawny” submandibular swelling - What is it, What should you do?

Answer 8

Ludwig’s Angina - INTUBATE (airway emergency)

Question 9

Drooling child, no vaccinated
Tripoding
- what is causative agent, what should you do?

Answer 9

Epiglottitis - H. influ, S. aureus

-Do Not agitate pt, have ENT intubate