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Medical Category: Head, Eye, Ear, Nose, and Throat

Corticosteroids in Pharyngitis – Systematic Review + Meta-Analysis

Background: Sore throat is among the most common complaints in the emergency department (ED). Sometimes, the etiology is bacterial, and in those cases antibiotics may shorten the duration of disease and provide symptomatic relief. The majority of cases are viral …

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Head, Eye, Ear, Nose, and Throat

Topical TXA in Epistaxis

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% (Gifford 2008, Pallin 2005). Standard anterior epistaxis treatment consists of holding pressure, use of local vasoconstrictors, topical application of silver …

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Head, Eye, Ear, Nose, and Throat

Topical Pain Control for Corneal Abrasions

Corneal abrasions account for 10% of all ocular complaints, and are the most common cause of ocular trauma (Alotaibi 2011, Bhatia 2013).  The diagnosis of corneal abrasions typically involves fluorescein staining of the eye and visualization of the abrasion via …

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Head, Eye, Ear, Nose, and Throat

REBEL Cast Episode 39 – The TOAST Trial: Dexamethasone for Acute Pharyngitis

Background: Sore throat is a common presentation to the emergency department as well as primary care clinics.  Corticosteroids inhibit transcription of pro-inflammatory mediators in airway endothelial cells responsible for pharyngeal inflammation and symptoms of pain.  They have been used in …

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Head, Eye, Ear, Nose, and Throat

Do Patients with Posterior Epistaxis Managed by Posterior Packs Require ICU Admission?

This post is part 2 of epistaxis dogma. In the first post, we discussed the (dis)utility of prophylactic antibiotics in patients with epistaxis who require nasal packing. Here, we will take on dogma #2: Dogma #2: Patients with posterior packs …

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Head, Eye, Ear, Nose, and Throat

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