Nasal septal hematoma - Revision history

Rossdonaldson1: Reverted edits by Nchajec (talk) to last revision by Rossdonaldson1

2022-08-03T17:46:58Z

Reverted edits by Nchajec (talk) to last revision by Rossdonaldson1

← Revisión anterior		Revisión del 17:46 3 ago 2022
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	==Disposition==		==Disposition==
	*~~Incision, drainage, and insertion of anterior nasal packing~~		*Discharge with 24hr ENT or ED follow-up

	==See Also==		==See Also==

2022-08-01T13:55:50Z

Disposition

← Revisión anterior		Revisión del 13:55 1 ago 2022
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	==Disposition==		==Disposition==
	*~~Discharge with 24hr ENT or ED follow-up~~		*Incision, drainage, and insertion of anterior nasal packing

	==See Also==		==See Also==

2019-12-13T21:27:33Z

← Revisión anterior		Revisión del 21:27 13 dic 2019
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	==Management==		==Management==
	~~NEJM procedure video: https://www.youtube.com/watch?v=wPB5XXfhyP8~~
	#Place [[lidocaine]]-soaked cotton pledgets in nose for 5min		#Place [[lidocaine]]-soaked cotton pledgets in nose for 5min
	#Achieve visualization with nasal speculum		#Achieve visualization with nasal speculum
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	*[[Nasal fracture]]		*[[Nasal fracture]]
	*[[Maxillofacial trauma]]		*[[Maxillofacial trauma]]

			==External Links==
			*NEJM procedure video: https://www.youtube.com/watch?v=J5xzYyxgQ0g

	==References==		==References==

2019-09-30T21:20:51Z

Clinical Features

2019-06-15T02:26:35Z

Management

← Revisión anterior		Revisión del 02:26 15 jun 2019
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	==Management==		==Management==
			NEJM procedure video: https://www.youtube.com/watch?v=wPB5XXfhyP8
	#Place [[lidocaine]]-soaked cotton pledgets in nose for 5min		#Place [[lidocaine]]-soaked cotton pledgets in nose for 5min
	#Achieve visualization with nasal speculum		#Achieve visualization with nasal speculum

2018-03-12T04:01:19Z

Clinical Features

← Revisión anterior		Revisión del 04:01 12 mar 2018
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	==Clinical Features==		==Clinical Features==
	[[File:PMC5042625 OAMJMS-4-413-g001.png\|thumb\|Bilateral septal hematoma]]		[[File:PMC5042625 OAMJMS-4-413-g001.png\|thumb\|Bilateral nasal septal hematoma]]
	*Adults present with significant [[facial trauma]] and [[nasal fracture]]		*Adults present with significant [[facial trauma]] and [[nasal fracture]]
	*Dark purple hematoma against septum		*Dark purple hematoma against septum

2018-03-12T04:01:03Z

Clinical Features

← Revisión anterior		Revisión del 04:01 12 mar 2018
Línea 9:		Línea 9:

	==Clinical Features==		==Clinical Features==
	[[File:PMC5042625 OAMJMS-4-413-g001.png\|Bilateral septal hematoma]]		[[File:PMC5042625 OAMJMS-4-413-g001.png\|thumb\|Bilateral septal hematoma]]
	*Adults present with significant [[facial trauma]] and [[nasal fracture]]		*Adults present with significant [[facial trauma]] and [[nasal fracture]]
	*Dark purple hematoma against septum		*Dark purple hematoma against septum

2018-03-12T04:00:50Z

Clinical Features

← Revisión anterior		Revisión del 04:00 12 mar 2018
Línea 9:		Línea 9:

	==Clinical Features==		==Clinical Features==
			[[File:PMC5042625 OAMJMS-4-413-g001.png\|Bilateral septal hematoma]]
	*Adults present with significant [[facial trauma]] and [[nasal fracture]]		*Adults present with significant [[facial trauma]] and [[nasal fracture]]
	*Dark purple hematoma against septum		*Dark purple hematoma against septum

2017-03-10T11:03:16Z

Text replacement - "abscess " to "abscess "

← Revisión anterior		Revisión del 11:03 10 mar 2017
Línea 5:		Línea 5:
	**Can lead to saddle nose deformity, nasal septum abscess		**Can lead to saddle nose deformity, nasal septum abscess
	**May be complicated by necrosis and perforation		**May be complicated by necrosis and perforation
	*Suspect septum abscess in patient who presents late after [[facial trauma]] with systemic symptoms		*Suspect septum [[abscess]] in patient who presents late after [[facial trauma]] with systemic symptoms
	*Ensure thorough examination of both nares - Nasal septum cartilage easily fractures (form bilateral hematomas)		*Ensure thorough examination of both nares - Nasal septum cartilage easily fractures (form bilateral hematomas)

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	#Give oral [[antibiotics]] (cover [[S. aureus]], [[H. flu]], [[S. pneumo]])		#Give oral [[antibiotics]] (cover [[S. aureus]], [[H. flu]], [[S. pneumo]])
	#*[[Amoxicillin-clavulanate]] for uncomplicated		#*[[Amoxicillin-clavulanate]] for uncomplicated
	#**[[Clindamycin]] if abscess suspected		#**[[Clindamycin]] if [[abscess]] suspected

	==Disposition==		==Disposition==

2016-07-22T22:34:02Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 22:34 22 jul 2016
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	{{Maxillofacial trauma DDX}}		{{Maxillofacial trauma DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Usually clinical		*Usually clinical
	*[[Oxymetazoline]] will not change size of hematoma, as opposed to typical soft tissue edema from trauma		*[[Oxymetazoline]] will not change size of hematoma, as opposed to typical soft tissue edema from trauma