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Flashcards in ENT Emergencies Deck (106)
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61

What is the most common cause of TM rupture?

Infection

62

Treatment for TM Rupture

Keep ear dry until TM healed
Most heal spontaneously
Antibiotic drops

63

Antibiotics for TM Rupture

Ofloxicin drops
Oral antibiotics

64

Which antibiotics are contraindicated in a TM rupture and why?

Gentamicin
Neomycin sulfate
Tobramycin
Ototoxicity

65

Presentation of Epiglottitis

Drooling
Fever
Hoarseness
Dysphagia
Stridor

66

Evaluation of Epiglottitis

Diagnosis clinical
Lateral xray?
Call ENT or surgeon

67

Treatment of Epiglottitis

Emergent ENT referrel
IV antibiotics
Intubation

68

Common Bugs of Epiglottitis

H. flu type B
Strep pneumo
Strep agalactiae
Staph aureus
Strep pyogenes
M. cat

69

What is the main characteristic of epiglottitis?

Thumb print sign

70

Presentation of Peritonsillar Abscess

Severe unilateral throat pain
Fever
Dysphagia
"Hot potato" voice
Halitosis
Neck pain
Ear pain on affected side
Headache
Trismus

71

Management of Peritonsillar Abscess

Supportive therapy
Work up
Immediate ENT referral for I&D

72

What type of supportive therapy is needed in peritonsillar abscess?

Airway
Fever
Pain
Hydration

73

Workup for Peritonsillar Abscess

+/- lateral neck xray
+/- CT with contrast

74

Anatomic Area of Retropharyngeal Abscess

Base of skull to the tracheal bifurcation

75

Define Retropharyngeal Abscess

Deep tissue neck infection

76

Serious/ Life-threatening Consequences of Retropharyngeal Abscess

Asphyxia
Spread of infection

77

Etiology of Retropharyngeal Abscess in Children

Usually from a lymph node that drains the H&N

78

Etiology of Retropharyngeal Abscess in Adults

Penetrating trauma
Infection in the mouth/teeth
Lymph nodes that drain the H&N

79

Signs & Symptoms of Retropharyngeal Abscess

Fever
Dysphagia
Neck pain
Decrease cervical ROM
Cervical lymphadenopathy
Sore throat
Poor oral intake
Muffled voice
Respiratory distress
Stridor (children)
Inflammatory torticollis

80

Workup of Retropharyngeal Abscess

Lateral soft tissue X-ray of neck
CT scan

81

Treatment of Retropharyngeal Abscess

Immediate ENT consult
I&D
IV hydration
IV antibiotics

82

IV Antibiotics in Retropharyngeal Abscess

Clindamycin
Ampicillin-sulbactam (Unasyn)

83

Retropharyngeal Abscess Complications

Extension of infection into mediastinum
Pleural/pericardial effusion
Upper airway asphyxia
Sudden rupture

84

Define Ludwig's Angina

Infection of the submandibular space
Progressive cellulitis of soft tissues of neck & floor of mouth

85

Etiology of Ludwig's Angina

Odontogenic
Staph
Strep
Bacteroides

86

Signs & Symptoms of Ludwig's Angina

Dental pain
Recent hx of dental procedures
Neck swelling
Neck pain
Change in voice
Dysphagia
Glossitis
Dyspnea
Tacypnea
Stridor

87

Physical Exam Findings of Ludwig's Angina

Bilateral submandibular swelling
Protruding tongue

88

Diagnostics of Ludwig's Angina

Clinical
CT

89

Treatment of Ludwig's Angina

Intubation
I&D
Broad spectrum antibiotics

90

Time Frame for a Laryngeal FB Removal

ASAP