Nose Flashcards
What are the associated features of Epistaxis?
Warfarin(Anticoagulant) Past Surgery, Nasal trauma Nasal sprays, steroids HTN, Intranasal Drug use Septal perforation, Nasal Cannula, Tumors
What is the difference between an anterial andposterior nasal bleed?
Anterior more common
What artery can be perforated in a bloody nose?
Internal ethmoid artery
(Branch of internal carotid)
intermittent spasm and gradual bleed
What are the traits of an Anterior nasal bleed?
Most common
Kiesselbach’s plexus involving anterior septum (Internal and external carotid supply
What is the home therapy in an anterior nasal bleed?
Moisturizer
Humidifier
Afrin (Vasoconstriction)
Pinch front of the nose (not top)
What is Tx for anterior nasal bleeding
Silver nitrate (avoid excess)
-slow down, dry off then SN
Afrin => Cautery
Anterior Nasal packing 3days!
What is last resort for Anterior Bleed?
Formal anterior back
Ligation/ embolization of internal maxillary Artery
Endoscopy
What are the Tx options of Post Epistaxis?
Find source w/ endoscope
What are the Tx of Altered SMell?
Topical nasal steroids
Oral steroids/antivirals
WHat are the traits of Nasal vestibulitis?
Dry, scabby anterior nasal passage
Manual irritiation => Squamous metaplasia
What are the traits of Rhinitis Medicamentosa?
Addiction to topical decongestants
STOP Spray!
Inferior Turbinates are cause