Post-tonsillectomy hemorrhage: Difference between revisions
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==Presentation== | ==Presentation== | ||
*Occurs in 1-6% of tonsillectomies | *Occurs in 1-6% of tonsillectomies | ||
*Highest incidence in 21-30 year olds | |||
*Lowest in <6 | |||
==Work Up== | |||
*Physical exam (do NOT remove any clots) | *Physical exam (do NOT remove any clots) | ||
*CBC, T+S or T+C, coags | *CBC, T+S or T+C, coags | ||
==Management== | |||
*ENT consult: Always, rebleeding is common and half of presentations require surgical management | *ENT consult: Always, rebleeding is common and half of presentations require surgical management | ||
*Airway management (anticipate difficulty and have surgical back up) | |||
*IV, O2, Monitor, NPO | |||
*Can try direct pressure with tonsillar pack or gauze infused with lido with epi | |||
==Category== | |||
[[ENT]] [[Pharyngitis]] | [[ENT]] [[Pharyngitis]] | ||
==Sources== | |||
Tintinalli | Tintinalli | ||
Revision as of 03:51, 27 May 2014
Presentation
- Occurs in 1-6% of tonsillectomies
- Highest incidence in 21-30 year olds
- Lowest in <6
Work Up
- Physical exam (do NOT remove any clots)
- CBC, T+S or T+C, coags
Management
- ENT consult: Always, rebleeding is common and half of presentations require surgical management
- Airway management (anticipate difficulty and have surgical back up)
- IV, O2, Monitor, NPO
- Can try direct pressure with tonsillar pack or gauze infused with lido with epi
Category
Sources
Tintinalli