Nose Flashcards

1
Q

What are the associated features of Epistaxis?

A
Warfarin(Anticoagulant)
Past Surgery, Nasal trauma
Nasal sprays, steroids
HTN, Intranasal Drug use
Septal perforation, Nasal Cannula, Tumors
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2
Q

What is the difference between an anterial andposterior nasal bleed?

A

Anterior more common

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3
Q

What artery can be perforated in a bloody nose?

A

Internal ethmoid artery
(Branch of internal carotid)
intermittent spasm and gradual bleed

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4
Q

What are the traits of an Anterior nasal bleed?

A

Most common

Kiesselbach’s plexus involving anterior septum (Internal and external carotid supply

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5
Q

What is the home therapy in an anterior nasal bleed?

A

Moisturizer
Humidifier
Afrin (Vasoconstriction)
Pinch front of the nose (not top)

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6
Q

What is Tx for anterior nasal bleeding

A

Silver nitrate (avoid excess)
-slow down, dry off then SN
Afrin => Cautery
Anterior Nasal packing 3days!

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7
Q

What is last resort for Anterior Bleed?

A

Formal anterior back
Ligation/ embolization of internal maxillary Artery
Endoscopy

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8
Q

What are the Tx options of Post Epistaxis?

A

Find source w/ endoscope

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9
Q

What are the Tx of Altered SMell?

A

Topical nasal steroids

Oral steroids/antivirals

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10
Q

WHat are the traits of Nasal vestibulitis?

A

Dry, scabby anterior nasal passage

Manual irritiation => Squamous metaplasia

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11
Q

What are the traits of Rhinitis Medicamentosa?

A

Addiction to topical decongestants
STOP Spray!
Inferior Turbinates are cause

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