| Question |
Answer |
| What is Auricular Hematoma? |
When Blood pools between the skin and the cartilage. |
| What is another name Auricular Hematoma? |
Cauliflower Ear |
| What is the MOI of Auricular Hematoma? |
single or repeated blunt trauma or shearing forces to external ear
|
| What happens over time to cause the deformity in Auricular Hematoma? |
Over time the hematoma scars |
| What are the fours things you will see or feel in evaluation of Auricular Hematoma? |
External ear appear violently red,
Swelling, Pain w/ palpation; hardened nodules, sometimes decreased hearing & balance
|
| What is Otitis Externa? |
Infection of the external auditory meatus |
| What is another name for Otitis Externa? |
swimmers ear |
| What happens in Otitis Externa? |
Dark, damp environment encourages growth of bacteria or fungus |
| What is the MOI of Otitis Externa? |
inadequate drying of the ear canal
|
| What are the eight possibel signs and symptoms for Otitis Externa? |
constant pain, Constant pressure; itching; hearing deficit; dizziness; redness; clear discharge from middle ear; enlarged lymph nodes |
| What is Otitis Media? |
Inflammation of the ear’s mucous membranes |
| What happens to cause Otitis Media? |
Eustachian tubes become blocked resulting in increased pressure within inner ear |
| What are the six common signs and symptoms for Otitis Media? |
Masks as a URI, ear feels blocked; pressure in inner ear; pain in inner ear; fluid build-up; hearing loss |
| What more severe injury can happen due to Otitis Media? |
Tympanic Membrane rupture |
| What causes Tympanic Membrane rupture? |
mechanical pressure or intrusion |
| What are the six main signs and symptoms for Tympanic Membrane rupture? |
inward & outward radiating pain; tinnitus; blood or fluids leaking from ear; redness; perforation; hearing loss
|
| What diagnostic test would allow an audible escape of air come from the inner ear when dealing with a tympanic membrane rupture? |
Valsalva maneuver |
| What is the MOI of a Nasal fracture? |
direct blow to nose |
| What are the eight s/s for nasal fracture? |
pain on the bridge of the nose;radiating pain on frontal & zygomatic bones;
visible deformity; bleeding; ecchymosis (raccoon eyes); deviated septum; crepitus;
diminished sense of smell and breathing |
| What is the most common type of facial fracture? |
Nasal fracture |
| What is saddle nose deformity? |
Repeated trauma that causes necrosis of the nasal cartilage |
| What should be used and what should be inspected for a possible deviated septum? |
Internal nose with a penlight or otoscope |
| What is the breathing technique whne trying to asses a deviated septum? |
athlete should try to breath through one nostril while the other one is closed |
| What is the 2nd most common facial fracture? |
Mandibular Fracture |
| What is the MOI for a mandibular fracture? |
direct blow to the mandible on anterior or lateral aspect
|
| What are the s/s you might encounter with a mandibular fracture? |
pain; swelling; gross deformity; malocclusion of the teeth; tenderness, crepitus
|
| What is raccoon eyes? |
echiymosis under the eyes seen in nasal fractures zygoma fractures and and blunt trauma to the face |
| What are three things that we will see when assessing a mandibular fracture? |
Pain when opening & closing mouth; Mandible may track laterally; Structures of TMJ may be affected |
| What is a special test we might be able to do when trying to assess a mandibular fracture? |
Tongue blade test |
| What is the moi of a zygoma fracture? |
blows to the cheek & inferior periorbital area
|
| What the four common signs or symptoms that may be seen with a zygoma fracture? |
subconjunctival and periorbital swelling; pain with palpation; poss. step of deformity; increased pain or inablitity to do when asked to perform eye movement |
| What is something that can occur concurrently with a nasal fracture? |
Maxillary Fracture |
| What is the chief complaint by an athlete with a maxillary fracture? |
pain in midportion of face
|
| What will not be evident when evaluating a maxillary fracture? |
deformity (not usually present) |
| Palpation can cause what during eval of maxillary fracture? |
crepitus at fracture site |
| What is a lefort fracture? |
A classification system for midface fractures |
| How do you get a lefort fracture? |
Result of extremely high impact forces |
| How many types of lefort fractures are there? |
three |
| What is a lefort I? |
involves just the maxillary bone |
| What is a Lefort II? |
involves maxilla and curves up into the nasal bone. Makes a c from the maxilla throught the nasal bone back down to the maxilla |
| what is a lefort III? |
crosses the zygomatic bones and the orbital bones in a straight line across; does not involve the maxilla |