Category Emergency

Foreign Body, Nose

Presentation Children frequently present after inserting foreign bodies (FBs) into their nares. They may report the FB, or the event may be observed. Sometimes, however, the history is obscure, and the child presents with local pain; a purulent, unilateral nasal…

Foreign Body, Ear

Presentation Children may present after placing small objects such as a bead, a small stone, folded paper, or a bean in their ear. At times, the history is not revealed, and the child simply presents with a purulent discharge, pain,…

Epistaxis: (Nosebleed)

Presentation Patients may arrive in the emergency department (ED) or urgent care center with active bleeding from their nose or spitting up blood that is draining into their throat from a nasal source. There may be a report of minor…

Cerumen Impaction: (Earwax Blockage)

Presentation The patient may complain of “wax in the ear,” a “stuffed-up” sensation, pain, itching, decreased hearing, tinnitus, dizziness, hearing aid malfunction, ear drainage, or ear odor. Symptoms may be sudden in onset if the patient put a cotton-tipped applicator…

Subconjunctival Hemorrhage

Presentation This condition may occur spontaneously or may follow minor trauma, coughing, vomiting, straining at stool, or exercising heavily. There is no pain or visual loss, but the patient may be frightened by the appearance of the affected eye and…

Periorbital and Conjunctival Edema

Presentation The patient is frightened by facial distortion and itching that appeared either spontaneously or up to 24 hours after being bitten by a bug or coming in contact with some irritant. One or both eyes may be involved. The…

Iritis: (Acute Anterior Uveitis)

Presentation The patient usually complains of the onset over hours or days of unilateral eye pain, blurred vision, and photophobia. He may have noticed a pink eye for a few days, suffered mild to moderate trauma during the previous day…