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Imaging Case of the Week 203

This lateral neck x-ray is from a 60 year old who has presented with a chicken bone stuck in his throat. What can be seen?Answer will be posted on 4/5/16.  
emergucate.com
over 3 years ago
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ENT Part 3: a frog in your throat? – Don't Forget the Bubbles

Here is the third part in our three part ENT series looking at recognition and management of common paediatric ENT conditions. This series is based on a presentation by Rahul Santram , adapted by Tessa Davis, and checked by our resident ENT surgeon, Sinéad Davis.  
dontforgetthebubbles.com
almost 4 years ago
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Some Kids Having Tonsil, Adenoid Surgery Should Be Inpatients

A large proportion of pediatric patients undergo tonsillectomy and adenoidectomy in ambulatory settings, including some who should be treated in the hospital, according to researchers from Stanford University in California.  
medscape.com
almost 4 years ago
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HPV Throat Cancer in Men Increasing -- Link to Oral Sex?

New data show that men are more likely to become infected with oral HPV and are less likely to clear these oral infections. Does this explain the higher incidence of HPV oropharyngeal cancer?  
medscape.com
almost 4 years ago
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Complications of rhinosinusitis

A 65 year old man was initially referred to plastic surgery because of a recurrent abscess on the forehead, and headache. He was subsequently referred to ear, nose, and throat surgery for definitive management of his sinus complication. What is the diagnosis?  
feeds.bmj.com
almost 4 years ago
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Complications of rhinosinusitis

A 65 year old man was initially referred to plastic surgery because of a recurrent abscess on the forehead, and headache. He was subsequently referred to ear, nose, and throat surgery for definitive management of his sinus complication. What is the diagnosis?  
feeds.bmj.com
almost 4 years ago
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Complications of rhinosinusitis

A 65 year old man was initially referred to plastic surgery because of a recurrent abscess on the forehead, and headache. He was subsequently referred to ear, nose, and throat surgery for definitive management of his sinus complication. What is the diagnosis?  
feeds.bmj.com
almost 4 years ago
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A podcast on strep pharyngitis? Sure!

This may be a bit hard to swallow, but not every disease process in the Emergency Department is exciting. Streptococcal pharyngitis is an incredibly common condition, especially in the Pediatric Emergency Department and I wanted to take this opportunity to answer some common questions. Who knows, perhaps after listening to this edition of PEM Currents you too will start treating strep throat with once a day dosing of Amoxicillin.  
pemcincinnati.com
almost 4 years ago
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News Quiz: Top Pediatrics Stories From 2015

Allergies, vaccines, strep throat, and bronchiolitis were among the most popular topics in pediatrics news in 2015. How well do you remember the news from stories most read by pediatricians? Find out with the short quiz below.  
medscape.com
about 4 years ago
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Meningitis (bacterial) and meningococcal septicaemia in under 16s: recognition, diagnosis and management | Guidance and guidelines | NICE

We checked this guideline and decided that it should not be updated at this time. For details, see the update decision and the process for deciding if an update is needed. We have also removed reference to throat swabs from recommendation 1.3.14, to bring it into line with Public Health England’s Guidance for public health management of meningococcal disease in the UK.  
nice.org.uk
about 4 years ago
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Steroids for the common cold | Cochrane

Common colds are experienced by over half a billion patients annually in the USA alone and result in significant loss of productivity. Although there are a number of medications used to help improve the symptoms of the common cold, none have good evidence of benefit. Steroids (corticosteroids) have been shown to help relieve symptoms in other types of upper respiratory tract infections by reducing the inflammation of the lining of the nose and throat, which means they might also improve the symptoms of the common cold.  
cochrane.org
over 4 years ago
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What's Causing a Boy's Fever, Limp, and Conjunctivitis?

A boy is brought to the ER with numerous ailments: a 6-day fever, a limp, ocular conjunctivitis, dry and cracked lips, a red throat, and other symptoms. What is the condition at the root of this boy's troubles?  
medscape.com
over 4 years ago
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Surgery Boosts Survival Chances for Advanced Throat Cancer

Surgery significantly improves survival among patients with advanced oropharyngeal and hypopharyngeal cancers, registry data show.  
medscape.com
over 4 years ago
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Virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat | Cochrane

This review evaluated whether surgeons trained in virtual reality simulation achieved outcomes for their patients that were equivalent to, or better than, those obtained through conventional training methods. It also evaluated whether virtual reality training helped surgeons acquire equivalent (or better) technical skills required to achieve good surgical outcomes, or the non-technical skills to make good decisions and lead the operating room team. Another consideration evaluated was the level of experience of participants in the trials, given that some of the study participants were surgeons in training, while others were medical students.  
cochrane.org
over 4 years ago
92e75aa95f2fe324f53d875466ded4a8?s=200&ts=1457703341
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Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.

A completely healthy 39 year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat.  It resolved after about 5 minutes, but then recurred and was sustained for over an hour.  She called 911. EMS recorded these ECGs:Time 0:In V2-V4, there is ST elevation that……  
prehospitalmed.com
over 4 years ago
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Antibiotics for preventing recurrent sore throat | Cochrane

Recurrent sore throat is an inflammation of the throat occurring three or more times per year. Sore throat has many causes, including bacteria, viruses, fungi (uncommonly) and non-infective causes. It causes throat pain, redness, swelling, swollen lymph nodes and symptoms of other accompanying respiratory infections. Antibiotics are sometimes used to prevent recurrent sore throat on the basis that sore throats can be caused by bacteria. However, frequent use of antibiotics has been linked to the development of antibiotic resistance. We looked for studies (randomised controlled trials) that investigated the effectiveness of antibiotics for preventing recurrent sore throat in adults and children.  
cochrane.org
over 4 years ago
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Lab Case 60

A 65 year old man presents to your ED with an altered mental state. He has a history of throat cancer with metastases to his brain.  
emergucate.com
over 4 years ago
Cochrane logo 400
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Antibiotics to prevent infection of the brain coverings (meningitis) in patients with basilar skull fracture | Cochrane

Basilar skull fracture (7% to 15.8% of all skull fractures) places the central nervous system in contact with bacteria from the nose and throat and may be associated with cerebrospinal fluid leakage (occurring in 2% to 20.8% of patients). Blood or watery discharge from the nose or ears, bruising behind the ear or around the eyes, hearing loss, inability to perceive odours or facial asymmetry may lead physicians to the diagnosis of basilar skull fracture. Patients with a basilar skull fracture may develop meningitis and some doctors give antibiotics in an attempt to reduce this risk.  
cochrane.org
over 4 years ago
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Flexible Printed Throat Implants Save Three Infants |

Researchers from University of Michigan, Ann Arbor have developed a 3D printed implant that saved the lives of three young boys with tracheobronchomalacia  
medgadget.com
over 4 years ago
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Amber's Story: How Two Kidneys Saved My Life - Nebraska Medicine

When Amber Tennell was 7-years-old, she had strep throat almost every two weeks. Doctors wanted to remove her tonsils. When she went in for surgery, her bloo...  
youtube.com
almost 5 years ago