Emergency medicine clinics of North America
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Earache, a common emergency department presentation, may be caused by a variety of conditions, some distant from the ear. This article discusses the diagnosis and treatment of acute otitis media, otitis media with effusion, otitis externa, otitis media with ruptured tympanic membrane or tympanostomy tubes, malignant otitis externa, mastoiditis and petrositis, traumatic ruptured tympanic membrane, cerumen impactions, and foreign bodies in the ears.
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Appropriate and timely management of traumatic injury to the teeth and their supporting structures plays an important role in determining long-term outcome. This article reviews the relevant anatomy and describes the initial diagnosis and treatment approach to dentoalveolar traumatic injury and fractures of the mandible. Procedures for initial stabilization and appropriate referral are also discussed.
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Regional nerve blocks of the face are important skills every emergency physician ought to know. Facial anesthesia improves cosmetic outcomes, reduces pain, and improves patient satisfaction. Understanding the anatomy of the head and face is essential to the application of regional anesthesia, and this anatomy will be reviewed in depth. By completion of this article, physicians should appreciate the basics of the various nerve blocks of the head and face to repair any laceration.
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This article provides a review of epistaxis for the emergency clinician. The anatomy, incidence, etiology, diagnosis, and management of posterior and anterior epistaxis are discussed.
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Emerg. Med. Clin. North Am. · May 2013
ReviewEvaluation and management of oral lesions in the emergency department.
This article reviews the emergency diagnosis and treatment of oral lesions. It presents a framework for developing a differential diagnosis based on the color of the lesions, describes emergency department interventions, and identifies pitfalls for the emergency physician.