ENT emergencies Flashcards
Typically inspiratory airway obstructions are blockages of
supraglottis/pharynx
Typically expiratory airway obstructions are blockages of
trachea, primary and secondary bronchi
What ENT conditions could lead to sepsis
Quinsy
Tonsillitis
Mastoiditis
Dental course
Submandibular gland
Posterior epistaxis is from what vessel
Ethmoidal which is a branch of the internal carotid
What cream can used in children with epistaxis
Naseptin cream
What is seen clinically in those with quinsy?
Deviated uvula
What side of airways is foreign body more likely to go down?
Right side bronchus
Describe basics of croup
Barking cough + biphasic stridor + hoarseness
6 month 3 years (smaller airway)
Viral – RSV, influenza
Mx- humidification + nebulised adrenalin, steroids.
Rarely ventilatory support.
Describe basics of epiglottis
Haemophillus influenzae decreases rate
1-5y/o
URTI sore throat, dysphagia, drooling, stridor.
Phone anaesthetist and ENT
Intubate, IV access and abx and steroids
Rarely trachostomy
Extracranial complications of otitis media
Mastoiditis
Labrynthitis
Hearing loss
Perforation
Facial nerve palsy
Petrositis (osteomyelitis of temporal bone
Intracranial complications of otitis media
Meningitis
Abscess
Otitis hydrocephalus
Lateral sinus thrombosis
Complications of sinusitis
Periorbital cellulitis (red closed eye – compression of optic nerve, blindness)
Osteomyelitis (potts tumour) – frontal sinus, skull
Mucoceles (dilatation of mucous) – previous draining
Intracranial – same as acute otits media
