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Flashcards in ENT Emergencies Deck (106)
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1

What is the primary concern in facial, head, or neck trauma?

Airway

2

Avoid ________ tracheal intubation

Nasal

3

Besides epistaxis, what is the best way to control hemorrhage control?

Direct pressure

4

What is the significance of CSF rhinorrhea?

Direct communication with the CNS due to disruption of the bony barrier and a tear in the dura

5

How do you distinguish nasal discharge from CSF?

Look for "halo" sign
Test glucose

6

Septal Hematomas in Adults Occur From?

Significant trauma
Nasal fracture

7

Septal Hematomas in Children Occur From?

Simple falls
Minor altercations

8

Treatment of Septal Hematomas

Drain & pack
Antibiotics

9

Which antibiotic do you use for the treatment of a septal hematoma?

Augmentin
If abscess- Clindamycin & admit

10

What condition can result in bilateral hematomas?

Cartilage fracture

11

Complications if a septal hematoma is not drained

Saddle-nose deformity
Septal perforation
Septal abscess

12

Septal abscess may spread to:

Paranasal & intracranial structures

13

What is the most common fracture within the head?

Nasal Fracture

14

Signs & Symptoms for Nasal Fracture

Edematous
Tender
Displacement
Crepitus
Epistaxis

15

What is the time frame to perform a closed reduction for a nasal fracture?

2-10 days

16

What causes an auricular hematoma?

Direct trauma to the auricle
Separation of cartilage from perichondrium

17

Treatment for Auricular Hematoma

Drain

18

What happens when an auricular hematoma doesn't get drained?

Cauliflower Ear

19

Causes of Cauliflower Ear

Failure to drain hematoma
Simulation of cartilage growth
Laceration through cartilage
Infection
High piercings

20

How can you prevent cauliflower ear?

Protective head gear

21

What is the management of an ear laceration?

Single layer closure through skin & perichondrium but not cartilage
Pressure dressing
Close follow up

22

Findings of a Middle Ear Injury

Hemotympanum
Amber or clear middle ear effusion
Otorrhea
Hearing deficit
Nystagmus
Ataxia
Retroauricular hematoma
Facial nerve deficit

23

Basilar skull fractures can be secondary to a fracture in which bones?

Temporal
occipital
Sphenoid
Ethmoid

24

Which bone is involved in 75% of basilar skull fractures?

Temporal bone

25

What finding is indicative of basilar skull fracture and middle ear injury?

Hemotympanum

26

What is a huge sign of a basilar skull fracture?

Battle sign

27

What do you need to evaluate ottorhea?

Whether it's blood or CSF

28

What is the 2nd most common facial fracture?

Mandibular fracture

29

How to evaluate a patient with a mandibular fracture?

Evaluate the bite
Tooth fractures or avulsions
Trauma of tongue
Sublingual ecchymosis
Tongue blade test

30

Management of Mandibular Fractures

Airway management
Hemostasis
Surgical consult