Nose

Question 1

Where to Majority of Epistaxis occur

Answer 1

90& @ Kiesselbachs plexus in anterior nasal septum

Question 2

1 cause of epistaxis in kids

Answer 2

trauma from digits

Question 3

Tx of epistaxis

Answer 3

Direct pressure, Topical nasal vasoconstrictor

(oxymeazoline, phenylephrine or silver nitrate cautery) AVOID IF HTN!

Question 4

Posterior epistaxis

Answer 4

more common in elderly but may require packing so must admit to the hospital bc risk of desat.

Question 5

ligation of epistaxis

Answer 5

Internal maxillary artery, ethmoidal arteries

Question 6

If pt nose is packed what should be done prophylactically

Answer 6

antistaphylococcal prophylaxis.

Question 7

Sinusitis most commonly involves

Answer 7

maxillary sinus

Question 8

dx of sinusitis

Answer 8

clinical dx but can confirm with CT

Question 9

fever, drooling odynophagia, trismus, muffled voice, soft palate, uvula displaced, peritonsillar fluctuant.

Answer 9

peritonsillar abscess.