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!
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
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.
Dr. Katie Selman discusses epistaxis.
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.
Sore throat? Hot Potatoe voice? What's more bread and butter EM than drainage of a peritonsillar abscess?!?! Read on below for a few pearls when it comes to diagnosing and draining.
A patient presents to your ED with a painful, red ear. Is this just "ear celluliits?" No...no it isn't. Read on for a high yield summary of this potentially serious bacterial infection of the ear.
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!
Epistaxis is a common ED complaint. There is a wide spectrum of presentation ranging from mild to severe and potentially life threateniing. Read on to learn some of the basics regarding risk factors, types and how to approach!
