ENT trauma Flashcards

1
Q

when would you commonly get nasal trauma

A

sports, fight, falls

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2
Q

what is epistaxis

A

bleeding from the nose

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3
Q

what could you experience during nasal trauma

A

loss of consciousness and breathing disruptions

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4
Q

when assessing nasal trauma, what should you look out for

A

bruising, redness, swollen, tenderness, deviation, epistaxis, facial tenderness and potential numbness

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5
Q

what would a septal haematoma feel like

A

spongy and boggy

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6
Q

do nasal fractures require examination

A

should be a clinical diagnosis

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7
Q

when should one with a nasal fracture present at clinic?

A

5-7 days post injury

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8
Q

What is the management of a nasal fracture

A

either nothing, or movement of nose under general or local anaesthetic

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9
Q

what are some complications of a nasal fracture

A

epistaxis, CSF leak, meningitis and anosmia

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10
Q

if someone turns up to hospital with epistaxis what should you do

A
resuscitate on arrival if necessary 
slow blood flow- pressure, ice, topical vasoconstrictor 
remove clot 
rhinos copy
cautery/ pack
nasendoscopy
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11
Q

should you consider sedation in epistaxis patients?

A

no

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12
Q

should you consider arterial ligation

A

yes

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13
Q

should you act immediately on a CSF leak

A

no- it should resolve itself in 10 days, if not, come back

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14
Q

what is a common ear injury rugby players get

A

pinna haematoma

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15
Q

how do you treat pinna haematoma

A

sub- perichondria haematoma
aspirate
incise and drain
pressure dressing

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16
Q

how could you acquire a laceration

A

blunt trauma, avulsion, dog bites, tissue loss

17
Q

what anaesthetic is a laceration usually fixed under

A

local

18
Q

How do you manage a laceration?

A

debridement, closure of wound, antibiotics for the cartilage

19
Q

What symptoms may someone with a temporal bone fracture have?

A

CSF leak, vertigo, injury, hearing loss, facial palsy

20
Q

What is th most common type of temporal bone fracture?

A

longitudinal fracture- 80%

21
Q

what does the fracture line parallel with

A

the long axis of the petrous pyramid

22
Q

what type of deafness can haemotympanum and ossicular chain disruption lead to

A

conductive deafness

23
Q

what do 20% of people get with a longitudinal fracture?

A

facial palsy

24
Q

what type of ‘blow’ causes a transverse fracture?

A

frontal

25
Q

what can the transverse fracture cause damage to?

A

auditory and facial nerves

26
Q

what kind of hearing loss is most common with a transverse fracture?

A

sensorineural

27
Q

what do 50% of people get with a transverse fracture?

A

facial nerve palsy

28
Q

what can cause conductive hearing loss

A

effusion, blood, CSF, stapes fixation, ossicular problem

29
Q

what structures are involved in zone 1

A

trachea- oesophagus, thyroid, thoracic duct, vessels,spinal cord

30
Q

what is involved in zone 2

A

larynx, hypopharynx, CN 10, 11, 12, vessels, spinal cord

31
Q

what is in zone 3

A

pharynx, CN, vessels, and spinal cord

32
Q

what is the most common zone to injure?

A

zone 1

33
Q

what is the second most common mid facial fracture

A

orbital floor

34
Q

what sign is evident in a orbital floor fracture?

A

tear drop

35
Q

For Le fort fractures, which is the gold standard imaging?

A

CT