ENT

Board Review: Epistaxis

A 30 year old male with no past medical history presents to the ED for epistaxis. You notice actice bleeding from right nare but cannot determine the exact source. Direct pressure was attempted for 20 minutes followed by application of a topical vasoconstrictor bleeding persists. What is the next best step in management of this patient's epistaxis? 

A. Irrigation

B. Posterior Packing

C. Anterior Packing

D. Cautery with silver nitrate 

 

 

 

 

 

Answer: C - Anterior Packing

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Board Review: Dental Problems

A 35 year old female presents to the Emergency Department with sudden onset of right lower dental pain. Patient had a dental extraction for a dental carie 5 days ago. What is the most likely diagnosis?

A. Acute Necrotizing Ulcerative Gingivitis 

B. Pulpitis 

C. Dental Abscess

D. Alveolar Osteitis 

E. Post-Extraction Pain

 

 

 

 

 

 

 

Answer is D - Alveolar Osteitis (Dry Socket)

 

Loss of healing clot leads to pain and inflammation 3-5 days post extraction. 

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Back to Basics: Dental Blocks

While we aren't dentists, it's very common to encouter ED patients with dental complaints. Dental blocks are a very useful tool in the care of patients with not only dental pain, but can also be used to anesthesize certain areas of the face for laceration repairs. Read on below for a guide on the different types of blocks.

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#EMconf #FlyEaglesFly: FFP for ACE-I induced angioedema

While the Cooper EM residents and faculty not on duty flock to the Eagles Super Bowl celebration parade in Philadelphia, EMDaily presents a brief review by our own Dr. Reid Phillips of two articles examining the efficacy of fresh-frozen plasma for the treatment of ACE-I induced angioedema. Can this simple therapy help prevent an airway disaster? Read on to find out!

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