Back to Basics: Dental Trauma
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Last week we reviewed some causes of dental pain. Here we move into traumatic dental injuries, with an overview of types and management.
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ENT
Back to Basics: Dental Pain
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Dental pain is a common chief complaint in the emergency department, but it can mean many different things. Let's review some of the basics about causes of dental pain.
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Interesting case of Epistaxis
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Elderly male presents to your ED with epistaxis for hours ...
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Interesting Cases: Ear Pain
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A 64 y.o male presents with complaint of ear pain and swelling. Click to learn more about causes of ear pain other than OM and OE!
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Back to Basics - Alveolar Osteitis “Dry Socket”
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Basics of how to diagnose and manage alveolar osteitis, or 'dry socket', a common cause of dental pain following tooth extraction
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Critical Cases - T Trach respiratory distress emergency!
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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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Critical Cases - Stab Wound to the Neck!
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A 41 yo male is brought in by EMS after self inflicted stab wounds to the neck and chest. As the patient is transferred to the ED stretcher, you frantically try to recall the initial priorities in the management of this potentially deadly injury....
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Advanced Practice - My Patient Hearing Opera Singer in Right Ear
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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
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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
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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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