22 - ENT Flashcards Preview

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Flashcards in 22 - ENT Deck (18)
1

source of blood in ant and post epistaxis

ant - keisselbach's
post - shenopalantine

2

step to manage epistax

1. ABC
2. pressure on ant. cart.
3. topical vasoconstrictors - cocaine or lido
4. pack
5. possible silver nitrate cautery

3

def. pharyngitis

inflammation of the pharynx and tonsils

4

causes of pharyngitis

1. viral most common
2. streps

5

mgmt of pharyngitis

1. ABCs
2. analgesia, antipyretic
3. ABx - centor crits

6

centor criteria for pharyngitis

1. tonsillar exudate
2. anterior cervical lymphadenopthy
3. fever >38
4. absence of cough
if have 2+ then give rapid strep test
4+ then Tx - penicillin

7

def. epiglottitis

cellulitis of epiglottis

8

Sx of epi

1. prodrome of URTI
2. severe sore throat
3. tenderness of hyoid bone

9

investigation and finding for epi

X-ray
- thinkened enlarged epi
- obliteration of vallecula
- ballooning of hypopharynx

10

Tx of epi

consult ICU/ENT
- IV cerftriaxone 1g

11

def. peritonisillar abscess

infection from the tonsils
- polymicrobial

12

signs and Sx

- febrile
- dehydration
- hot potato voice
- enlarge tonsil with exudate

13

Tx of tonsillar abscess

- ABCs
- supportive
- clindamycin 600mg IV
- drainage with ENT

14

patho or retropharyngeal abscess

- in children from the nodes in retro
- can also be from cellulitis or fish bones

15

signs and Sx

- odynophagia, dysphadia
- neck pain and stiffness
- portable X-ray

16

Tx of retropharyngeal

IV Abx
- ENT

17

def. ludwig's angina

- infection of floor of mouth and submandibular
- polymicrobial

18

Tx of ludwigs

IV ABx
- ENT