Ent Medicine Red Flags Part One

A red flag exists if you encounter a swollen left sided subclavian lymph node. It may indicate that the person has an esophageal or gastric malignancy.

• True

• False

Why are red flags called red flags?

• Because red flags were used by ancient Roman physisicans

• Because a red flag historically meant to be on alert or caution

• Red flags are an outdated term and need to be replaced

Septal hematoma

• Is nothing to worry about

• Needs to be evaluated by an ENT surgeon

• Is always a consequence of broken nose

Sinusitis involving the frontal sinus can be assessed clinically by tapping or pressing on BL 2 or in that region resulting in______________ if positive.

• Sharp pain shooting across the cheek

• Dull pain in the area directly under the frontal sinuses

• Dull pain in the contralateral sinus

Infections of the face in and around the nose can drain directly into the cavernous sinus by the valveless facial vein.

• True

• False

Antihistamines like Benadryl will make a sinus infection worse bu drying out sinus secretions which is exactly the opposite of what you should be doing.

• True

• False

Otitis media can become a red flag when it results in:

• Otitis externa

• Serous otitis media

• Meningitis

• Tympanic membrane swelling

When rinsing out the ear for cerumen impaction it is very important to make sure the water is either very cold or room temp. Warm water irrigation but not cold water irrigation may cause vertigo, nausea and vomiting.

• True

• False

A common red flag presentation in a toddler is fever, sore throat, dysphagia, trismus and DROOLING in two similar yet distinct diseases. They are___________________ and _____________________.