Post-tonsillectomy hemorrhage

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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

ENT Pharyngitis

Sources

Tintinalli