Rhinology Flashcards
1
Q
What are the two most common causative organisms in acute rhinosinusitis?
A
Haemophilus Influenzae (21%) Streptococcus Pneumoniae (31%)
2
Q
What are two antimicrobial choices for treating rhinosinusitis?
A
Beta lactams- penicillin and cephalosporins
Macrolide- erythromycin and clarithromycin
3
Q
What is Pott’s Puffy?
A
Infection and exudate in the frontal sinuses causing a protrusion of the forehead that needs frontal sinus surgery
4
Q
What are some causes of epistaxis?
A
Infection Trauma Allergy Hypertension and IHD Blood dyscrasias Tumour
5
Q
What is an ethmoidal mucocele?
A
The ethmoidal sinuses or the frontal sinuses become filled with mucous and the frontal nasal duct is blocked so it pushes the orbit down (diplopia).
6
Q
How is a nose bleed that wont stop treated?
A
ABC IV access Pack the nose with either posterior or anterior nose packing ENT sprays nose with vasoconstrictor Cauterise bleeder Ligate main artery-sphenopalatine artery