Trauma Flashcards

1
Q

four examples of ear trauma

A
  1. pinna haematoma
  2. temporal bone fracture
  3. sudden SNHL
  4. foreign bodies
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2
Q

management of pinna haematoma

A

incision, aspiration and drainage
apply pressure dressing
no sport for 2 weeks

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3
Q

presentation of temporal bone fracture

A

battle sign (bruising behind ear) is specific for fracture of mastoid process

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4
Q

what needs to be checked in temporal bone fracture?

A

tympanic membrane
facial nerve functioning
hearing

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5
Q

two types of temporal bone fractures

A
  1. longitudinal

2. transverse

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6
Q

management of sudden SNHL

A

steroids

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7
Q

management of foreign bodies in the ear

A

remove batteries urgently!

drown animals and remove the next day

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8
Q

how is neck trauma classified?

A

into zones

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9
Q

which zone of neck trauma is most dangerous?

A

zone 1

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10
Q

what can result in deep neck space invasion?

A

infections of tonsils and oropharynx

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11
Q

what does the retropharyngeal and parapharyngeal spaces risk development of?

A

abscesses

impacted foreign body must be removed immediately

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12
Q

presentation of maxillary fractures

A
pain
decreased visual acuity
diplopia
hypoaesthesia
oedema
restricted movement
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13
Q

diagnosis of maxillary fracture

A

CT shows tear drop sign in sinus

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14
Q

management of maxillary fracture

A

conservatively

surgery if entrapment, large defect or significant enophthalmos

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15
Q

two types of mid-face fractures

A
  1. Rene Le Fort

2. Canonballs

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16
Q

presentation of mid-face fractures

A

swelling
bruising
haematoma
upper airway can be compromised