|
|
December case 2
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
RE: December case 2 - December 13, 2007 2:34:39 PM
|
|
|
bonez
Posts: 156
Joined: August 29, 2007
Status: offline
|
Well on first glance there is nasal angulation externally and bleeding so first thought would be a nasal fracture. The view into the nares shows crowding in the right side so besides the fracture is the septum evulsed as well?
|
|
|
|
|
RE: December case 2 - December 14, 2007 7:42:43 AM
|
|
|
Sebastian Asselbergs
Posts: 1061
Joined: September 29, 1999
From: Barrie, Canada
Status: online
|
I'm with bonez here - my nose looked like that twice in my life. I would love to say it was during a big fight......(once because my face hit a wall, once because I fell on it on a branch)
_____________________________
Mundi vult decipi
|
|
|
|
|
RE: December case 2 - December 14, 2007 9:53:24 AM
|
|
|
ehanso
Posts: 353
Joined: September 14, 2004
From: Minnesota
Status: offline
|
Rx: Dr 90210 :)
|
|
|
|
|
RE: December case 2 - December 14, 2007 12:05:52 PM
|
|
|
jma
Posts: 2301
Joined: August 24, 2000
From: NY
Status: offline
|
fractured nasal bone with detached nasal septum?
|
|
|
|
|
RE: December case 2 - December 14, 2007 7:21:23 PM
|
|
|
steve
Posts: 448
Joined: May 14, 2003
From: victoria, bc Canada
Status: offline
|
Hey Wags,
I like Pride too but they have basically been bought up by UFC and all the guys are transitioning over to the UFC. Silva/Liddel should be an interesting bout to watch....
|
|
|
|
|
RE: December case 2 - December 15, 2007 1:09:27 AM
|
|
|
Dr.Wagner
Posts: 1228
Joined: January 24, 2003
From: Indianapolis
Status: offline
|
The case is that of a nasal fracture with co-existing Nasal Septum HEMATOMA. This is identified by the 'grape like' hematoma. It requires immediate surgical attention to avoid septal necrosis...
Steve...yeah, UFC bought pride, but the new organization M1 may bring back some Pride glory.
< Message edited by Dr.Wagner -- December 15, 2007 1:15:39 AM >
_____________________________
Dr. Wagner DO
Moderator of Medical Complexity Forum
|
|
|
|
|
RE: December case 2 - December 17, 2007 10:37:41 AM
|
|
|
gerry
Posts: 235
Joined: July 6, 1999
From: Montgomery, AL, USA
Status: offline
|
Wags,
I would like your opinion. My son had his nose broken during broom hockey. (Teenagers-on ice-in a mall-in Alabama-wearing tennis shoes-swinging large sticks. Go figure) It was about 10:00, so we went to the ER. X-rays were taken and the ER doc said it was not broken. I asked why it was off to the side (it looked about like Steves picture), and he said he wasn't sure. To be fair, the swelling did make it appear straighter than it was when I first saw it.
We went to the ENT the next day who did a CT scan and showed us the multiple breaks. It was then reset under anesthesia.
My question. When is an ER visit needed for a broken nose? The ENT said if breathing was OK, and the bleeding was stopped, it was OK to wait to the next day to be seen. What would you recommend? Thanks!
|
|
|
|
|
RE: December case 2 - December 17, 2007 6:06:11 PM
|
|
|
Dr.Wagner
Posts: 1228
Joined: January 24, 2003
From: Indianapolis
Status: offline
|
you dont really need to go to the er for an isolated closed nasal fracture...unless you see the septal hematoma.
_____________________________
Dr. Wagner DO
Moderator of Medical Complexity Forum
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.156
|
Printable Version
