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EPISTAXIS
5-10% of the population experience an episode of epistaxis each year.
Blood supply: -Sphenopalatine artery -Greater palatine artery -Superior Labial artery -Anterior Ethmoid artery -Posterior Ethmoid artery
EPISTAXIS
EPISTAXIS
EPISTAXIS
Site of bleeding: Anterior
Kesselbachs Plexus
Posterior
Woodruffs Plexus
EPISTAXIS
Precipitating factors; Local: exposure to dry and
cold air current, trauma, neoplasm, Foreign Bodies.
Systemic:
Medication, HTN,
EPISTAXIS
Initial Management
ABC, AMPLE HISTORY, Physical exam Anterior rhinoscopy Endoscopic rhinoscopy Obtain lab study.
EPISTAXIS
MANAGEMENT:
Control the cause. Transfuse if needed. Local medication Pressure application Nasal pack; anterior or posterior
EPISTAXIS
Embolization Surgery
Endoscopic, open.
PSH:
stapedectomy or other otologic surgeries
Audiogram MRI
Laboratory testing
CBC,ESR, VDRL
Surgical treatment
Ossiculoplasty, cochlear implant, facial n decompression, control of CSF leak,
AIRWAY EMERGENCIES
Bilateral choanal atresia
Epiglottitis
AIRWAY EMERGENCIES
Angioedema
Ludwig angina
AIRWAY EMERGENCIES
Laryngeal trauma
Blunt trauma Penetrating trauma
Thank you