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Otolaryngologic Emergencies

Visual review of common ENT emergencies with emphasis on diagnosing vertigo causes and sinusitis complications. Learn exam tricks and proper treatments.

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Otolaryngologic Emergencies

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  1. Otolaryngologic Emergencies Kalpesh Patel, MD Department of Pediatric Emergency Medicine

  2. To perform a visual review of common causes of ENT emergencies Common diagnoses will be quickly reviewed and infrequent ones reviewed more in depth: Objectives

  3. 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

  4. Nose and Sinuses • Exam tricks: • Use vasoconstrictors before exam • Use nasal speculum • Close eye exam is also important to look for complex sinus disease

  5. 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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