Monthly Archives: February 2012

Ultrasound Peritonsillar Abscess

The clinical diagnosis of peritonsilar abscess (PTA) has a Sensitivity of 78% and specificity of 50%. The findings of trismus, odynophagia, muffled voice, edema and erythema of the superior peritonsillar tissue, and soft palate deviation are considered typical findings of … Continue reading

Posted in Imaging, Otolaryngology

Pharyngitis and Steroids

Below are the two best meta-analysis looking at steroids as pain control in pharyngitis. Meta-analysis BMJ 2009: Adult patients treated with corticosteroids were three times more likely to have complete resolution of pain at 24 hours and the number needed … Continue reading

Posted in Medications, Otolaryngology

Neck Masses

A persistent neck mass in an adult older than 40 years is concerning for malignancy. Computed tomography of the neck with contrast and ultrasound are both good initial imaging modalities for neck masses. Ultrasound is the ideal imaging study for … Continue reading

Posted in Otolaryngology

Treatment of Ludwig’s Angina

Ludwig’s angina is a bilateral cellulitis of the floor of the mouth, involving the submandibular, sublingual, and submaxillary spaces.  70% of the time it is odontogenic in origin, usually from the 2nd or 3rd molars.  Other causes include mandible fractures … Continue reading

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