ENT
A Sublingual Mass in a 5-Year-Old Male
DOI: https://doi.org/10.21980/J8H622Oral 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.
Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Head, Eyes, Ears, Nose and Throat Emergencies Small Group Module
DOI: https://doi.org/10.21980/J8PW5NWe 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.
Bedside Ultrasound for the Diagnosis of Peritonsillar Abscess
DOI: https://doi.org/10.21980/J8N33NThe 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.
Oropharynx Ulceration
DOI: https://doi.org/10.21980/J87W60The 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.
Emergency Surgical Airway Model for Procedural Skills Simulation
DOI: https://doi.org/10.21980/J8M921At 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.
Development of a Head and Neck Regional Anesthesia Task Trainer for Emergency Medicine Learners
DOI: https://doi.org/10.21980/J8T595In 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
Acute Necrotizing Ulcerative Gingivitis (ANUG)
DOI: https://doi.org/10.21980/J8S88HPhysical 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.
Infectious Mononucleosis: Pharyngitis and Morbilliform Rash
DOI: https://doi.org/10.21980/J88C7HHer 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.