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Non Traumatic EENT Emergencies

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Presentation on theme: "Non Traumatic EENT Emergencies"— Presentation transcript:

1 Non Traumatic EENT Emergencies
Eyes--Ears--Nose--Throat

2 Eye Emergencies Acute Glaucoma Central Retinal Artery Occlusion
Retinal Detachment

3 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

4 Acute Glaucoma Management Cover eyes Transport

5 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

6 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

7 Ear Emergencies/Urgencies
Otitis Externa Otitis Media Foreign Bodies

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

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

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

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

12 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

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

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

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

16 Epistaxis Management Anterior Bleed Posterior 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

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


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