ENT

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Oropharynx Ulceration

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

DOI: https://doi.org/10.21980/J87W60 Issue 2:4[mrp_rating_result]
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. 
ENTVisual EM
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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[mrp_rating_result]
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.
ENTInnovationsProcedures

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[mrp_rating_result]
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
ProceduresENTInnovations
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Acute Necrotizing Ulcerative Gingivitis (ANUG)

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

DOI: https://doi.org/10.21980/J8S88H Issue 2:2[mrp_rating_result]
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.
ENTInfectious DiseaseVisual EM
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Infectious Mononucleosis: Pharyngitis and Morbilliform Rash

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

DOI: https://doi.org/10.21980/J88C7H Issue 2:2[mrp_rating_result]
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 DiseaseDermatologyENTVisual EM