Otolaryngologic Emergencies Kalpesh Patel, MD Department of Pediatric Emergency Medicine.
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Otolaryngologic Emergencies
Kalpesh Patel, MD
Department of Pediatric Emergency Medicine
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Objectives
To perform a visual review of common causes of ENT emergencies
Common diagnoses will be quickly reviewed and infrequent ones reviewed more in depth:
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Vertigo
Vertigo is a symptom of a larger problem, so look for the cause.
Nausea/Vomiting, Imbalance, Irregular gait Etiologies:
• Pneumatic otoscopy with cholesteotoma• Vestibular neuronitis• Trauma to temporal lobe of brain• Meniere’s Disease – Rare in kids• Benign paroxysmal vertigo
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Nose and Sinuses
Exam tricks:• Use vasoconstrictors before exam• Use nasal speculum• Close eye exam is also important to look for
complex sinus disease
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Sinusitis
The most common nose and sinus infection are colds.
Sinusitis is diagnosed when there are more than 7 days of mucopurulent nasal discharge with fever.
Complications of sinusitis:• Orbital cellulitis/abscess• Facial cellulitis/abscess• Meningitis
Hospitalization is the recommended treatment for complicated sinusitis
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