Throat - Emergency Presentations Flashcards
Sx - upper airway obstruction (6)
Noisy breathing Increased SOB Hoarse voice Pain Dysphagia Agitation
Signs UAO (5)
Stridor SOB Voice change Drooling Cyanosis
What is stridor
Noisy breathing due to partial obstruction below larynx
Inspiratory phase stridor
At laryngeal level
Expiratory phase stridor
Asthma/bronchi/bronchioles
Mixed/biphasic stridor
Combo trachea/larynx/lower airways
Congenital causes stridor (2)
Laryngomalacia
VC palsy
Acquired causes stridor (5)
Epiglottitis Croup Malignancy Angiodema VC paralysis
Def stertor
Low pitched noise at level of oropharynx
3 structures that can cause stertor (3)
Tonsils
Adenoids
Tongue
How does stertor PS
Heavy snoring
Causes of stertor (4)
Tonsilitis
nasal obstruction
choanal stenosis
FB
PS - DNSI (7)
Pain Trismus Dysphagia Dysphonia Stridor Drooling Pyrexia/malaise
What is a Quinsy
pus between the tonsil capsule and lateral pharyngeal wall
PS QUinsy (6)
Unilateral facial pain Dysphagia Trismus Hot potato voice Odynophagia Rx otalgia - IX/X
O/E Quinsy
Unilateral swelling
Tonsils/uvula pushed to op side
Mx Quinsy
IV - fl + ABx
Drain
Where is a parapharyngeal abscess
Lateral to pharynx
What can a parapharyngeal abscess cause?
Venous thrombus
Mediastinitis
Where is a retropharyngeal abscess
Behind pharynx
Who gets retropharyngeal abscesses
Children < 2
Sx retropharyngeal abscess (6)
Sore throat Dysphagia Trismus Drooling Fever Muffled voice
Signs retropharyngeal abscess (5)
Septic Decr head movement Mass Airway compromise Tongue swelling
Ix retropharyngeal abscess
CT/USS
Tx retropharyngeal abscess (3)
airway protection
IV ABx
Drainage/aspirate
Complications retropharyngeal abscess (5)
obstruction rupture mediastintis Lemierres syndrome carotid aa erosion