Nose

Question 1

First aid of epistaxis

Answer 1

Sit up and forward and pinch cartilage of nose for 10 mins

Question 2

If first aid of epistaxis fails what to do

Answer 2

Use topical anaesthesia and try to visualise littles area of kellelbacks plexus = nasal cautery

If no visible bleed needs nasal packing

Question 3

What should be used to prevent infection and crusting in epistaxis

Answer 3

Nasapetim - CI in peanut and soy allergy

Question 4

If first aid, cautery and packing fails in epistaxis

Answer 4

Sphenopalitne ligation in theatre

Question 5

Boggy swelling arising from nasal septum following trauma

Answer 5

Look up the nose for a septal haematoma

Admit for urgent ENT assessment for surgical drainage and Iv antibiotics

Risk of septal necrosis and saddle nose deformity