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    Ds Fracture Nasal Bone

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    Jayahar Alexander
    The patient presented with a nasal bone fracture following an accidental injury to the nose. A CT scan showed a nasal bone fracture with septal dislocation. Under local anesthesia, the septum and nasal bones were reduced using appropriate surgical instruments. The nose was packed and a plaster of Paris cast was applied. The patient was discharged on medications including antibiotics and analgesics with instructions to follow up after 5 days.

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    Ds Fracture Nasal Bone

    Uploaded by

    Jayahar Alexander
    15 views3 pages
    The patient presented with a nasal bone fracture following an accidental injury to the nose. A CT scan showed a nasal bone fracture with septal dislocation. Under local anesthesia, the septum and nasal bones were reduced using appropriate surgical instruments. The nose was packed and a plaster of Paris cast was applied. The patient was discharged on medications including antibiotics and analgesics with instructions to follow up after 5 days.

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    ds fracture nasal bone (1)

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    The patient presented with a nasal bone fracture following an accidental injury to the nose. A CT scan showed a nasal bone fracture with septal dislocation. Under local anesthesia, the septum and nasal bones were reduced using appropriate surgical instruments. The nose was packed and a plaster of Paris cast was applied. The patient was discharged on medications including antibiotics and analgesics with instructions to follow up after 5 days.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    15 views3 pages

    Ds Fracture Nasal Bone

    Uploaded by

    Jayahar Alexander
    The patient presented with a nasal bone fracture following an accidental injury to the nose. A CT scan showed a nasal bone fracture with septal dislocation. Under local anesthesia, the septum and nasal bones were reduced using appropriate surgical instruments. The nose was packed and a plaster of Paris cast was applied. The patient was discharged on medications including antibiotics and analgesics with instructions to follow up after 5 days.

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    © All Rights Reserved
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    of 3

    Final Diagnosis: BILATERAL NASAL BONE FRACTURE

    procedure done :NASAL BONE FRACTURE REDUCTION UNDER LA

    Chief complaints:

    c/o nasal bleeding for 4 hrs

    c/o nasal obstruction for 4 hrs

    History of present illness:

    Alleged history of accidental injury in nose

    C/o nasal bleeding from left nostril

    C/o nasal obstruction

    C/o pain and swelling over nose

    No h/o LOC

    Past medical history:

    Not a known case of diabetes mellitus, systemic hypertension, epilepsy, bronchial asthma ,
    tuberculosis

    Past surgical history:

    Nil

    Personal History:

    mixed diet

    normal bowel and bladder habits

    Examination:

    General condition:

    Gc fair

    conscious ,oriented and afebrile

    No pallor, no pedal edema, no cyanosis, no clubbing, no generalized lymphadenopathy

    Vitals stable

    Systemic examination:

    CVS: S1 and S2 heard

    RS: Normal vesicular breath sounds heard

    Local examination of external nose:

    Diffuse swelling present over root and dorsum of nose


    RIGHT LEFT

    Anterior Active bleeding present


    Normal
    rhinoscopy
    No septal haematoma

    Ear:

    RIGHT LEFT

    PINNA Normal Normal

    EAC Normal Normal

    Tympanic membrane Intact Intact

    PTA - -

    Impedance - -

    Facial nerve clinically intact clinically intact

    Throat:

    Tonsil grade and condition normal

    Oral cavity normal

    Oropharynx normal

    Larynx normal

    Hypopharynx normal

    Neck: normal

    Investigations: enclosed
    Course of stay: patient with above mentioned complaints admitted in ENT department, CT PNS - showed
    nasal bone fracture with septal dislocation, patient underwent nasal bone fracture reduction under LA pt
    improved symptomatically, hence discharged with following advice
    Treatment given

    INJ. CEFOTAXIM 1GM IV BD

    INJ. DICLOFENAC 50MG IM BD

    INJ. PANTOPRAZOLE 40MG IV OD

    TAB. CHYMORAL FORTE TDS


    OXYMETAZOLINE NASAL DROPS 3 DROPS TDS

    OPERATIVE NOTES:

    Under LA, pt In supine position,Septum reduced with Asch forceps , nasal bone reduced with
    walsham forceps , nasal packing done with vaseline soaked ribbon gauze, POP cast applied over the nose

    Medication advised at discharge:

    Sl
    Formulation Drug Dose Frequency 5 Days Before/After food
    No

    1 Tab. CEFIXIME 200mg BD 5 days After food

    2 Tab. Pantoprazole 40mg OD 5days Before food

    3 Drops OXYMETAZOLINE 3 drops TDS 5 days

    5. Tab. Zerodol p BD 5 days After food

    6 Tab. Montex lc Hs 5 days After food

    review after 5 days in ent opd with


    Precautions and danger signs

    Nose
    Avoid blowing of nose, sneezing.
    Avoid trauma to nose.
    Review in Emergency/ OPD in case of bleeding from nose/ mouth or any watery nasal discharge.

    Signature & Seal of Treating Consultant


    NOTE: In case of Emergency; Please Contact: 044 27528528, Toll Free No: 1800 599 0999.
    அவசர உதவிக்கு தொடர்புகொள்ள வேண்டிய எண் : 044 2752 8528,
    கட்டணமில்லா தொலைபேசி எண் : 1800 599 0999

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