clinical 2 Flashcards
symptoms:
- thick, discoloured discharge from nose/ back of throat
- pain, tenderness and swelling around eyes, nose, cheeks, forehead
- ear pain, upper jaw ache
chronic sinusitis
chronic sinusitis treatment
- penicillin
- cephlasporins
- clarithromycin
- steroids
- ABs
- immunosuppression
nasal polyp treatment
oral and nasal steroids, high dose for 20 days
polypectomy
microdebridement
management acute periorbital swelling
- urgent CT
- emergency referral
- IV antibiotics
- emergency surgery
frontal sinusitis/ Potts puff tumour
life threatening complication of infective sinusitis in which osteomyelitis of frontal bone causes swelling and oedema of forehead and scalp
symptoms:
- child
- enlarged forehead lump
- acute onset fever
- frontal headache
- nasal discharge
potts puffy tumour
mucocele
benign lesion commonly @ paranasal sinuses
caused by blockage of outflow tract
symptoms:
- headache
- facial pressure/ swelling/ deformity
- dental pain
- nasal obstruction
- periorbital pain
mucocele
HHT ( hereditary haemorrhage telangiectasia)
- have some blood vessels which haven’t been developed properly and can cause bleeding
treatment HHT
- laser coat
- septodermoplasty
angiofibroma
histologically benign but locally aggressive vascular tumour that grows @ back of nasal cavity of MALE
Ramsay hunt syndrome
effect of shingles on the facial nerve
symptoms:
- facial palsy
- severe ear pain (totally out of proportion)
Ramsay- hunt syndrome
how many planes should you get x-rays in for facial trauma
2
symptoms: in mouth: - area of redness speckled white/ red - ulcers - persistent sore throat - odynophagia - numbness - bleeding
other:
- ear pain
- weight loss
oral cavity cancer
