MDT EAR Auricular Hematoma Flashcards

1
Q

_______ refers to the accumulation of blood in the subperichondrial space, usually secondary to blunt trauma

A

Auricular hematoma

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2
Q

The cartilage depends on the perichondrial blood vessels for viability. Any separation can result in what?

A

Necrosis

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3
Q

The resultant deformed auricle has been referred to as ________
-which is commonly associated with Who?

A

Cauliflower ear

boxers and wrestlers

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4
Q

What would you suspect from these issues?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

A

Auricular Hematoma

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5
Q

What are some DDX for Auricular hematoma?

A

(1) Relapsing Polychondritis
(2) Cellulitis of the auricle
(3) Auricular Laceration

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6
Q

What labs would you do for auricular hematoma?

A

None needed

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7
Q

How would dress this?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

A

A dental roll or a firm sterile pledget can then be placed over the restored site with through-and-through sutures connected to a similar bolster on the
opposite side.

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8
Q

How would you treat this?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

A
  • Local anesthesia
  • Semicircular incision (using sterile technique) should be made through the skin with caution not to violate the underlying perichondrium
  • Irrigations
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9
Q

What antibiotics would you give for this after draining the hematoma?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

A

Neomycin-bacitracin-polymyxin B (Neosporin)

Apply one application twice daily

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10
Q

What is the goal of treatment for this after removing the fluid collection?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

A

maintain pressure in the area for several days to prevent reaccumulation of fluid.

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11
Q

True/False

A auricular hematoma pt needs prophylactic oral antibiotics

A

False

Patient DOES NOT need prophylactic oral antibiotics

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12
Q

True/False

A non-pressure dressing with antibiotic ointment should then be applied.

A

True

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13
Q

WHat is the goal of treatment

A
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