Nose

Question 1

What are the associated features of Epistaxis?

Answer 1

Warfarin(Anticoagulant)
Past Surgery, Nasal trauma
Nasal sprays, steroids
HTN, Intranasal Drug use
Septal perforation, Nasal Cannula, Tumors

Question 2

What is the difference between an anterial andposterior nasal bleed?

Answer 2

Anterior more common

Question 3

What artery can be perforated in a bloody nose?

Answer 3

Internal ethmoid artery
(Branch of internal carotid)
intermittent spasm and gradual bleed

Question 4

What are the traits of an Anterior nasal bleed?

Answer 4

Most common

Kiesselbach’s plexus involving anterior septum (Internal and external carotid supply

Question 5

What is the home therapy in an anterior nasal bleed?

Answer 5

Moisturizer
Humidifier
Afrin (Vasoconstriction)
Pinch front of the nose (not top)

Question 6

What is Tx for anterior nasal bleeding

Answer 6

Silver nitrate (avoid excess)
-slow down, dry off then SN
Afrin => Cautery
Anterior Nasal packing 3days!

Question 7

What is last resort for Anterior Bleed?

Answer 7

Formal anterior back
Ligation/ embolization of internal maxillary Artery
Endoscopy

Question 8

What are the Tx options of Post Epistaxis?

Answer 8

Find source w/ endoscope

Question 9

What are the Tx of Altered SMell?

Answer 9

Topical nasal steroids

Oral steroids/antivirals

Question 10

WHat are the traits of Nasal vestibulitis?

Answer 10

Dry, scabby anterior nasal passage

Manual irritiation => Squamous metaplasia

Question 11

What are the traits of Rhinitis Medicamentosa?

Answer 11

Addiction to topical decongestants
STOP Spray!
Inferior Turbinates are cause