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Otolaryngology > Nasal Trauma > Flashcards

Nasal Trauma Flashcards

1
Q

what is the cause of a nasal fracture?

A

direct blow to the nose

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2
Q

what should I look out for in a patient with a nasal fracture?

A
  1. CNS injury
  2. diplopia
  3. teeth
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3
Q

a patient presents with nasal obstruction, nasal bleeding, pain, anosmia, and cosmetic deformity. what are they likely experiencing?

A

nasal fracture

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4
Q

what is the first thing I should do for a patient with a nasal fracture?

A

manage epistaxis

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5
Q

what are the parts of my physical exam for a nasal fracture? (2)

A
  1. palpate facial and nasal bones
  2. exam inside nose
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6
Q

what am I looking for when I palpate the facial and nasal bones in a patient with a nasal fracture? (5)

A
  1. tenderness of frontal sinus
  2. deformity
  3. mobility
  4. crepitus
  5. step off
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7
Q

what would I expect to see in a patient with a nasal fracture?

A

periorbital ecchymoses

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8
Q

how is a nasal fracture diagnosed?

A

physical exam by ENT

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9
Q

why should a patient with a nasal fracture wait 4 days to see an ENT?

A

allow decrease in swelling

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10
Q

when should a patient with a nasal fracture get a closed reduction?

A

7-14 days

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11
Q

what is some patient education to be given for a nasal fracture? (2)

A
  1. nose bone mobile for 2 weeks
  2. no contact sports for 6 weeks
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12
Q

trauma to blood vessels in the nasal septum can lead to ….

A

septal hematoma

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13
Q

why is a septal hematoma dangerous?

A

pressure increases risk for necrosis of cartilage

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14
Q

a patient presents with progressive nasal obstruction, worsening pain, and rhinorrhea. what are they experiencing?

A

septal hematoma

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15
Q

what should be seen in physical exam for a septal hematoma? (3)

A
  1. asymmetry of septum
  2. edema
  3. afrin does not decrease edema
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16
Q

what must ENT do for a septal hematoma?

A

surgical drainage

17
Q

what should be prescribed to a patient with a septal hematoma?

A

clindamycin

18
Q

what are complications associated with septal hematoma? (3)

A
  1. septal perforation
  2. necrosis of cartilage
  3. facial deformity

Otolaryngology (19 decks)

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