Paucis Verbis card: Angioedema

Angioedema Lip

Recently, a patient presented with angioedema after starting taking an ACE-inhibitor. There was upper lip swelling, similar appearing to the case above. He also experience a hoarse voice. Before the advent of fiberoptic nasopharyngoscopy, it was assumed that there may be laryngeal edema. Fortunately, using technology, we were able to visualize a normal epiglottis and a grossly normal laryngeal anatomy.

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By |2019-01-28T23:49:23-08:00Mar 26, 2010|ALiEM Cards, Allergy-Immunology, ENT|

Trick of the trade: Ear foreign body extraction

BeadsA 6-year old boy has placed a hard bead in his ear and presents to the ED for care. How do you remove this foreign body as painlessly as possible? You can just barely see the edge of the bead by just looking at the external ear.

By experience, you know that mini-Alligator clips and forceps will not be able to sufficiently grab the edges of the bead. Additionally it may push the bead in even further.

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By |2019-02-19T18:08:04-08:00Mar 24, 2010|ENT, Tricks of the Trade|

Trick of the Trade: Peritonsillar abscess needle aspiration

peritonsillar abscess

How do you drain a peritonsillar abscess?

When evaluating a patient with a sore throat and “hot potato voice,” peritonsillar abscess (PTA) is at the top of the differential diagnosis list. As with all abscesses, the definitive treatment involves drainage of pus. This can be done either by incision and drainage or, more commonly, by needle aspiration.

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By |2019-07-02T20:50:17-07:00Sep 9, 2009|ENT, Tricks of the Trade|
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