ENT Emergencies

Question 1

Emergencies affecting the airway

Answer 1

Inhaled Foreign body
Allergic reaction - Anaphylaxis
Quinsy
Facial fractures

Epiglottitis
Croup

Question 2

Emergencies affecting breathing

Answer 2

Inhaled foreign body

Croup

Question 3

Emergencies affecting circulation

Answer 3

Haemorrhage

• Epistaxis
• Secondary to surgery

Question 4

Sore throat history

Answer 4

Duration
Previous episodes or recent surgery?
Response to previous treatments?
One side or both?
Associated features or other symptoms? Associated symptoms may lead to a particular diagnosis.
Ability to swallow food, liquid, saliva?
Hallitosis?
Drugs that may cause agranulocytosis, candidal overgrowth or Stevens Johnson syndrome?
Occupational exposure to physical irritants?

Question 5

Epistaxis history

Answer 5

Age of patient?
Number of bleeding episodes?
Sensation of blood in the throat?
Amount of blood/duration of bleeding?
History of epistaxis, trauma, nasal surgery?
Family history of bleeding disorder?
Anticoagulant, NSAID, aspirin, cocaine use?
Other significant medical conditions, for example ischaemic heart disease, COPD, hypertension, coagulopathy?

Question 6

Why is amoxicillin avoided in glandular fever?

Answer 6

Can result in macular rash