ENT Trauma Flashcards
How do you manage epistaxis
Pressure/ice and topical vasoconstrictor eg lignocaine and adrenaline Remove clots Anterior rhinoscopy 30 degree rigid nasendoscopy Cauterise with silver nitrate
What can be seen in the history of a temporal bone fracture
hearing loss
facial palsy
vertigo
CSF leak
What can be seen on examination of a temporal bone fracture
battles sign
what type of fracture are most temporal bone fractures
longitudinal (from a lateral blow)
What causes a transverse fracture
frontal blows
which type of temporal bone fracture gives conductive hearing loss and CSF ottorhea
longitudinal
which type of fracture of the temporal bone is more likely to result in facial nerve palsy and sensorineural hearing loss
transverse
what is otosclerosis
stapes fixation
what type of deafness results from otosclerosis
conductive
what is seen on a CT in orbital blow out fractures
tear drop
what are the signs on examination of an orbital blow out fracture
diplopia periorbital ecchymosis oedema enopthalmos restricted ocular movements hypoaesthesia in infraorbital region
