Random
90% of nose bleeds come from this area? What is the common source for posterior nose bleeds?
Kiesselbach's Plexus
Woodruff's Plexus
Rhinitis caused by afrin (oxymetazoline) misuse?
Rhinitis medicamentosa-"beefy red" edematous mucosa
MC cause of epixtasis?
digital manipulation
dry air
How would you diagnose chronic sinusitis?
How would you treat acute Rhinosinusitis?
CT w/ no contrast
AugmentinWhat demographic should have extra concern when unilateral nose bleeds are present?
Type of rhinitis most commonly found in elderly patients?
Vasomotor rhinitis
MC type of rhinitis? What causes it?
Allergic rhinitis (IgE mediated mast cell histamine release)
Unilateral, foul smelling nasal drainage? What are 2 of the emergencies?
Nasal foreign body (Button batteries or paired disc magnets)
First line treatment of epixstasis? Other options
Squeeze anterior cartilage while sitting forward, afrin
chemical cauterization
absorbable materials
nasal packing if posterior
What is used to cauterize epistaxis?
silver nitrate
Which sinuses are MC affected by rhinosinusitis?
Maxillary
What type of patients most commonly present with hormonal rhinitis?
Pregnant, Puberty, Hypothyroidism, Oral Contraceptive
What is Samter's triad and what does it help to diagnose?
1. Asthma
2. Aspirin sensitivity
3. Nasal polyps
Nasal polyps usually bilateral
What timeframe in treatment of nasal fractures is a closed vs open reduction?
Closed= within 1st 3 hours (before swelling) or
between 3-10 days (after swelling, before healing)
Open= (septorhinoplasty) wait 3-6 months if after failed closed reduction
Why is fungal rhinosinusitis more emergent? Who is at risk?
Aspergillus can cause invasion of bone/orbit and CNS
Diabetes/Cancer/Immunocompromised
Name the 4 sinuses for the nose and order of development.
1. Maxillary (in utero)
2. Ethmoid (present at birth)
3. Sphenoid (age 3)
4. Frontal (age 5-7)
Triad for allergic rhinitis?
Boggy turbinates, cobblestone mucosa, (sneeze,cough,tears,itch,)allergy symptoms
Pt presents w/ ischemia of septal cartilage and resulting necrosis. What could this be a complication of?
Extra points: If it had a unilateral, compressible bulge?
Nasal fracture. [Saddle nose]
Septal Hematoma
Rhinitis treatment? Short term? Long term?
Flonase long term
Afrin short term
Long term treatment and prevention of epistaxis?
Nasal hygeine/no nose picking
Humidifier
HTN control
proper steroid use
Symptoms of chronic sinusitis? Timeframe>?
Subtle symptoms of nasal obstruction
less fever and pain complaints
Hyposmia/Anosmia
>12 weeks
Rhinosinusitis caused by what?
Viral?
Bacterial?
Rhinovirus, influenza, RSV
S.pneumoniae
M. cat
H. flu
also staph...
I ran out of questions )===
What's Jabari's middle name?
What are some labs ordered in the treatment of epistaxis?
PT/PTT/INR/LFTs/Creatinine/CBC
I ran out of questionsssssss
What is Dr. Whiteheads first name??