Nose - part 2 Flashcards Preview

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Flashcards in Nose - part 2 Deck (15)
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1
Q

Which 2 aa from ICA end up in nose

A

Anterior ethmoidal

Posterior ethmoidal

2
Q

What are the 4 aa from the ECA that end up in the nose?

A

Sphenopalatine (main)
Sup labial
Lat nasal
Greater palatine

3
Q

Where do nosebleeds usually arise from?

A

Little’s area

4
Q

Causes of nosebleeds (7)

A
Trauma 
Infection 
Inflammation 
Neoplastic 
Decr platelet function 
Congenital - HHT
Cocaine use
5
Q

Key Hx points nosebleed

A
Unilateral predominance 
Ant/post
Frequency 
Pain
Drunk 
Incr BP 
NSAIDs 
Volume 
Co-morbidities 
Antecedents 
Mx technique 
Smoker
Nut allergy
6
Q

Significant co-morbidities in nasal Hx (5)

A
HTN
Cardiac problems 
Anticoagulation use 
Previous nasal surgery 
Clotting disorder
7
Q

1st aid Mx nosebleed

A

Site forward
Pink fleshy bit of nose for 10mins
Avoid swallowing + ice pack

8
Q

Cauterising nosebleed

A

1:200,000 adrenaline + AgNO4 stick 1-2s
Do feeder vessel before main one
Dab clean w/ naseptin

9
Q

Next step for nosebleed if cautery fails

A

Nasal packing (ant/ then post)
leave for 24-48hrs
+ prophylactic Abx

10
Q

Negative of nasal packing

A

Very uncomfortable

11
Q

Last resort nose bleed?

A

SPA ligation

12
Q

What needs to be ruled out during a nose fracture Hx?

A

Facial injury
C spine injury
Head injury

13
Q

Mx of septal haematoma

A

Drain asap

ABx to prevent 2’ infection

14
Q

Mx nose fracture

A

Send home
Review in 5-7 days if v swollen
Manipulate under GA/LA at under 2 w

15
Q

Mx of septal deviation

A

Removal cartilage and reposition cartilage surgically