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ENT Block Case 1

Module Author: Kevin Baumlin, MD
Web Author: Michael Bessette, MD


Situation

Provided in our ENT kit:
2 tongue blades
1 roll of tape
bayonet forceps nasal speculum
Vaseline gauze nasal packing nasal tampons
balloons alligator forceps
silver nitrate sticks Frasier suction catheter
wax loop Irrigation syringe

operating otoscope-


Joseph Epistaxsia is a 55 year old WM who presents with a complaint nose bleeding for the last 2 hours. He has a history of hypertension and CAD but currently has no other complaints.



1. How common is epistaxis or nasal hemorrhage?



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2. What labs, if any would you draw?



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3. How long should you apply pressure and what method?



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4. How do you properly evaluate this patients nose? Include what materials are needed. (demonstation)



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5. What discharge instructions would you give to the patient if his nose stopped bleed now?



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6. What do you do now?



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7. What discharge instruction would you give to Mr. Epistaxsia now?



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8. Discuss posterior packing



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