Professional Documents
Culture Documents
EAR TRAUMA
IMPACTED WAX Can be very painful .Advise warm olive oil for several
days before syringing at GP
MASTOIDITIS NEED ACUTE REFERRAL FOR IV ANTIBIOTICS
SWELLING AND TENDER OVER MASTOID
PATIENT UNWELL AND PYREXIAL.
FOREIGN BODY
Make sure you have a nurse or mother willing and able
to hold the child very still. Make sure you have a good
light and a blunt hook. Have one go at removing the
FB. If unsuccessful refer to oncall ENT
Think of foreign body if history of unilateral nasal
discharge..
THROAT
STRIDOR
First remember A B C
Try not to distress the child any more than you have to.
Get Senior Anaesthetic, Paediatric,ENT help
DO not attempt to look at throat
Some possible causes include FB , acute epiglottitis,
croup,laryngitis
SORE THROAT
You are unable to tell from looking whether or not it is viral or
bacterial. If you decide to give an antibiotic use a penicillin as vast
majority are Strep. Advice a regular mouth gargle and regular
paracetamol
If you think it is a Quinsy (Tonsillar abscess, swelling and bulging
one side) refer
HAEMORRHAGE.