Non Traumatic EENT Emergencies

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Added: October 15, 2008 This Presentation is Public 
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Non Traumatic EENT Emergencies :Non Traumatic EENT Emergencies Eyes--Ears--Nose--Throat


Eye Emergencies :Eye Emergencies Acute Glaucoma Central Retinal Artery Occlusion Retinal Detachment


Acute Glaucoma :Acute Glaucoma Increased intraocular pressure Caused by acute obstruction of aqueous humor outflow Signs/Symptoms Decreased visual acuity Colored halos around lights Severe eye pain radiating to head/face Nausea, vomiting Fixed, midposition pupil “Steamy” cornea


Acute Glaucoma :Acute Glaucoma Management Cover eyes Transport


Central Retinal Artery Occlusion :Central Retinal Artery Occlusion Blockage of blood flow to retina Signs/Symptoms Sudden, painless, unilateral blindness Management Intermittent digital massage over closed eyelid Caution - monitor EKG Consider having patient rebreathe in paper bag


Retinal Detachment :Retinal Detachment Separation of retina from underlying structures Signs/Symptoms Dark or irregular “floaters” Flashes of light “Curtain” or “Veil” in visual field Management Transport gently


Ear Emergencies/Urgencies :Ear Emergencies/Urgencies Otitis Externa Otitis Media Foreign Bodies


Otitis Externa :Otitis Externa Localized or diffuse infection of ear canal Predisposing factors Wetness Irritants (hair dye/sprays) Trauma from cleaning ears


Otitis Externa :Otitis Externa Signs/Symptoms Itching, severe pain Loss of hearing if ear canal swells Foul smelling discharge Tenderness with traction on ear


Otitis Media :Otitis Media Bacterial or viral infection of middle ear Usually secondary to upper respiratory infection Common in children 3 months to 3 years old


Otitis Media :Otitis Media Signs/Symptoms Persistent, severe earache Fever, nausea, vomiting, diarrhea Red, bulging tympanic membrane


Foreign Bodies :Foreign Bodies Common in young children Attempts to remove may damage tympanic membrane Transport to ER for removal Non-hydroscopic objects may be irrigated out Insects can be killed by placing mineral oil in ear canal


Nose/Throat Emergencies :Nose/Throat Emergencies Nasal foreign bodies Epistaxis Peritonsillar Abscess (Quinsy)


Nasal Foreign Bodies :Nasal Foreign Bodies Common in young children Foul-smelling, bloody, unilateral discharge Retained foreign bodies Rhinoliths Transport for removal


Epistaxis :Epistaxis Causes Local infection Drying of mucous membranes Hypertension Trauma Bleeding tendencies Digital insertion


Epistaxis :Epistaxis Management Anterior Bleed Pinch nostrils Pressure over upper lip at base of septum Local cold application Posterior Bleed May require packs or cauterization Patients may need volume replacement


Peritonsillar Abscess (Quinsy) :Peritonsillar Abscess (Quinsy) Acute infection of soft tissue spaces around tonsil Signs/Symptoms Severe pain on swallowing Fever Tonsil displaced medially Respiratory distress