Post-tonsillectomy hemorrhage: Difference between revisions
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== | ==Background== | ||
*Occurs in 1-6% of tonsillectomies | *Occurs in 1-6% of tonsillectomies | ||
*Most common on POD 5-7 | *Most common on POD 5-7 | ||
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*Lowest in <6 year olds | *Lowest in <6 year olds | ||
== | ==Clinical Features== | ||
*Hemoptesis | |||
==Differential Diagnosis== | |||
*Post-op pain | |||
==Diagnosis== | |||
*Physical exam (do NOT remove any clots) | *Physical exam (do NOT remove any clots) | ||
==Management== | ==Management== | ||
===Work-Up=== | |||
*CBC | |||
*T+S or T+C | |||
===Treatment=== | |||
*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) | *Airway management (anticipate difficulty and have surgical back up) | ||
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[[Pharyngitis]] | [[Pharyngitis]] | ||
== | ==References== | ||
<references/> | |||
[[Category:ENT]] | [[Category:ENT]] | ||
Revision as of 19:27, 31 January 2016
Background
- Occurs in 1-6% of tonsillectomies
- Most common on POD 5-7
- Highest incidence in 21-30 year olds
- Lowest in <6 year olds
Clinical Features
- Hemoptesis
Differential Diagnosis
- Post-op pain
Diagnosis
- Physical exam (do NOT remove any clots)
Management
Work-Up
- CBC
- T+S or T+C
Treatment
- 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, upright position
- Can try direct pressure with tonsillar pack or gauze infused with lido with epi