ENT

A Sublingual Mass in a 5-Year-Old Male

Chris A Rees MD, MPH^*, Andrea T Cruz, MD, MPH^{^} and Corrie E Chumpitazi, MD, MS^{^}

DOI: https://doi.org/10.21980/J8H622Issue 3:1 No ratings yet.

Oral ranula. On oral inspection he had a 3 x 1.5 cm, soft, non-tender, mobile, cystic, sublingual mass on the right aspect of the floor of his mouth that did not move with swallowing (Image 1). There was mild associated submandibular swelling on the right side of his face.

ENT Visual EM

Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Head, Eyes, Ears, Nose and Throat Emergencies Small Group Module

Andrew King, MD^*, Paul Crawford^*, Christopher San Miguel, MD^*, Michael Barrie, MD^*, Sandra Spencer, MD^{^}, Alyssa Tyransky^* and Nicholas Kman, MD^*

DOI: https://doi.org/10.21980/J8PW5N Issue 2:4 No ratings yet.

We aim to teach the presentation and management of HEENT emergencies through the creation of a flipped classroom design. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.

Curricula ENT Small Group Learning

Bedside Ultrasound for the Diagnosis of Peritonsillar Abscess

Harshal Bhakta, BS,^* Maili Alvarado, MD^{^} and Daryn Towle, MD*

DOI: https://doi.org/10.21980/J8N33N Issue 2:4 No ratings yet.

The first video is an intraoral ultrasound using the high frequency endocavitary probe demonstrating an anechoic fluid collection adjacent to the patient’s enlarged left tonsil. The second video shows real-time ultrasound-guided successful drainage of the PTA.

Ultrasound ENT Infectious Disease Visual EM

Oropharynx Ulceration

Lauren Sylwanowicz, MD^* and Andrew Wong, MD, MBA^*

DOI: https://doi.org/10.21980/J87W60 Issue 2:4 No ratings yet.

The photograph demonstrates an area of ulcerative tissue at the left palatine tonsil without surrounding erythema or purulent drainage. The computed tomography (CT) scan shows a large ulceration of the left soft palate and palatine tonsil (red arrow). There is no evidence of skull base osteomyelitis. There is suppurative lymphadenopathy with partial left jugular vein compression due to mass effect (yellow highlight). There is mild nasopharyngeal airway narrowing with architectural distortion (blue arrow), but no other evidence of airway obstruction.

ENT Visual EM

Emergency Surgical Airway Model for Procedural Skills Simulation

Jason Stopyra, MD^*, Jonah Gunalda, MD^*, Cedric Lefebvre, MD^* and David Manthey, MD^*

DOI: https://doi.org/10.21980/J8M921Issue 2:3 No ratings yet.

At the end of this educational session, learners will be able to: 1) practice the manual and cognitive skills necessary to perform a successful and rapid surgical cricothyrotomy, and 2) successfully complete a cricothyrotomy within a time frame of 90 seconds.

ENT Innovations Procedures

Development of a Head and Neck Regional Anesthesia Task Trainer for Emergency Medicine Learners

Diane L Gorgas, MD^*, Sarah Greenberger, MD^*, Jillian McGrath, MD^*, David P Way, MEd^* and Chad Donley, MD^{^}

DOI: https://doi.org/10.21980/J8T595Issue 2:2 No ratings yet.

In participating in the educational session associated with this task trainer, the learner will: 1) Identify landmarks for the following nerve blocks: Infraorbital, Supraorbital (V1), Mental, Periauricular 2) Demonstrate the appropriate technique for anesthetic injection for each of these nerve blocks 3) Map the distribution of regional anesthesia expected from each nerve block 4) Apply the indications and contraindications for each regional nerve block

Procedures ENT Innovations

Acute Necrotizing Ulcerative Gingivitis (ANUG)

Nicholas E. Kman, MD^* and Vinny P. Kumar, MD^*

DOI: https://doi.org/10.21980/J8S88H Issue 2:2 No ratings yet.

Physical examination revealed inflamed gingiva, ulceration, and soft tissue necrosis (Image 1) along with mandibular lymphadenopathy (not shown). Given her symptoms, poor oral care, and her immunocompromised state, she was given a diagnosis of Acute Necrotizing Ulcerative Gingivitis (ANUG) or Vincent’s Angina.

ENT Infectious Disease Visual EM

Infectious Mononucleosis: Pharyngitis and Morbilliform Rash

Eric McCoy, MD, MPH^* and Amal Shafi, BS^*

DOI: https://doi.org/10.21980/J88C7H Issue 2:2 No ratings yet.

Her physical exam was significant for bilateral tonsillar exudates, cervical lymphadenopathy, and a morbilliform rash that included the palms (Figure 1-4). Laboratory testing was significant for white blood cell (WBC) count of 16.5 thous/mcl with an elevation in absolute lymphocytes of > 10 thous/mcl. The monospot and EBV (Epstein-Barr virus) panel were positive.

Infectious Disease Dermatology ENT Visual EM