Presentation After a direct blow to the nose, a patient may present with concern that their nose is broken. There is usually minimal bleeding. There may be tender ecchymotic swelling over the nasal bones or the anterior maxillary spine, and…
Presentation The patient is usually an adolescent or a young adult between the ages of 15 and 25 complaining of several days of fever, malaise, myalgias, and anorexia, culminating in a severe sore throat. The physical examination is remarkable for…
Presentation A child, most often between the ages of 6 months and 3 years (peak incidence 1–2 years, rarely seen >6 years), arrives with a characteristic barking cough that sounds very much like the bark of a seal. The patient…
Presentation Patients may present with the sensation of a foreign body (FB) stuck in their throat. They typically can still feel a sensation in the throat, especially (and perhaps painfully) when swallowing. They may be able to precisely localize the…
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…
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,…
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…
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…
Presentation The patient arrives in the emergency department (ED) or clinic complaining of severe, intense, burning eye pain, usually bilateral, beginning 6 to 12 hours after a brief exposure without eye protection to a high-intensity ultraviolet (UV) light source, such…
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…