ENT

Critical Cases - T Trach respiratory distress emergency!

A 56 yo male with a hx of TBI, subglottic stenosis, tracheomalacia, and tracheal stenosis presents in acute respiratory distress. There is a strange looking trach in place with no balloon for a cuff. You begin to wonder how you will manage this pt if he ultimately requires mechanical ventilation.....

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Advanced Practice - My Patient Hearing Opera Singer in Right Ear

An 82 yo male presents to the ED complaining of several months of progressive hearing loss in the right ear. For the past 3 days, he can hear a male voice singing opera in the right ear only,  24/7. Read on for a brief discussion of this fascinating phenomenon and how we cured him in 5 minutes!

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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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