ENT trauma Flashcards
when would you commonly get nasal trauma
sports, fight, falls
what is epistaxis
bleeding from the nose
what could you experience during nasal trauma
loss of consciousness and breathing disruptions
when assessing nasal trauma, what should you look out for
bruising, redness, swollen, tenderness, deviation, epistaxis, facial tenderness and potential numbness
what would a septal haematoma feel like
spongy and boggy
do nasal fractures require examination
should be a clinical diagnosis
when should one with a nasal fracture present at clinic?
5-7 days post injury
What is the management of a nasal fracture
either nothing, or movement of nose under general or local anaesthetic
what are some complications of a nasal fracture
epistaxis, CSF leak, meningitis and anosmia
if someone turns up to hospital with epistaxis what should you do
resuscitate on arrival if necessary slow blood flow- pressure, ice, topical vasoconstrictor remove clot rhinos copy cautery/ pack nasendoscopy
should you consider sedation in epistaxis patients?
no
should you consider arterial ligation
yes
should you act immediately on a CSF leak
no- it should resolve itself in 10 days, if not, come back
what is a common ear injury rugby players get
pinna haematoma
how do you treat pinna haematoma
sub- perichondria haematoma
aspirate
incise and drain
pressure dressing
