ENT

While not as common, auricular hematomas are equally important to both understand and know how to manage.

A 15-year-old male presents to the pediatric ED for worsening sore throat and fevers for 5 days. He complains of right sided throat pain, odynophagia, and a muffled voice. He is tachycardic, febrile, uncomfortable appearing, and sitting upright.  You note trismus, swollen right tonsil, erythematous and elevated soft palate, and uvula deviated towards the left tonsil. What’s the next step in your evaluation and treatment?

A 2-year-old male is brought to the ED by his mom for right ear pain and high fevers. His right ear is notably pushed forward. On exam, he is alert but fussy, with auricular proptosis and mastoid redness. What’s the next step in your evaluation and treatment?

How is trismus defined? What can cause it, and what should you do?

An 28-year-old male presents after high-speed MVC with facial pain and loss of consciousness. He has severe facial pain and bruising, conjunctival hemorrhage bilaterally, and facial paresthesias. What is the patient’s diagnosis? What’s the next step in your evaluation?

This edition of Unlocking Common ED Procedures provides pearls and pitfalls in PTA drainage.

Stridor can be scary. This post looks at the pathophysiology, etiologies, evaluation, and management for emergency clinicians.

An 8-year-old male presents 7 days post-tonsillectomy. His mother states he started spitting up blood this morning. The patient appears well, but suddenly starts throwing up coffee ground emesis. When the patient stops throwing up, you look at the back of the throat and see what appears to be a clot. What’s the next step in your evaluation and treatment?

Ears, nose, throat, dental… What you need to know for the Boards, followed by some amazing artwork from Hanson’s Anatomy.