HEENT Emergencies Flashcards
1
Q
Scalp laceration- Sx
A
- Palpation and inspection of bleeding scalp
- Sig source of blood loss
2
Q
Scalp laceration- Tx
A
- Staples or sutures
- Irrigation with saline
3
Q
Facial laceration- Tx
A
- Primary closure
- Clean debris
- Specialist surgeon
4
Q
Tooth avulsion- Sx
A
- Displacement of tooth from socket
- Oral trauma
5
Q
Tooth avulsion- Tx
A
- Rinse tooth
- Replace tooth in socket or transplant media
- Consult dentist, oral surgeon
6
Q
Orbital floor blowout fracture- Sx
A
- Enophthalmos
- Pain, periorbital ecchymosis
- Diplopia with upward gaze
- decreased eye movement
- Ocular trauma
7
Q
Orbital floor blowout fracture-Tx
A
- Tetanus prophylaxis
- Pain control
- Avoid valsalva maneuvers
- Antiemetics
8
Q
Blunt ear trauma- Sx
A
- Bleeding between perichondrium and auricular cartilage
- Wrestlers and boxers
- Cauliflower ear
9
Q
Blunt ear trauma- Tx
A
- Auricular block
- Aspiration or I and D
- Abx, pack ear
10
Q
Nasal fracture- Sx
A
- Blow to face
- Pain in nose
- Epistaxis
- Facial deformity
11
Q
Nasal fracture- Tx
A
- Assess airway
- Control epistaxis
- Reduce immediately
- Drain hematomas
12
Q
Epistaxis- Sx
A
- Kiesselbach area
- Bloody nose
13
Q
Epistaxis- Tx
A
- Assess hemodynamic stability
- chemical cautery
- Packing if bleeding persists
14
Q
TM perforation- Sx
A
- Acute onset of pain and hearing loss
- Barotrauma, acoustic trauma
- Bloody otorrhea
- Tinnitus and vertigo
15
Q
TM perforation- Tx
A
- Heal spontaneously
- Refer to ENT
