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MANAGEMENT OF THE CASE

By:
Muneeza Naz
Roll #:46
CONTENTS

 History
 Examination
 Investigations
 Treatment
HISTORY

 Should be very brief and quick.


 Duration of bleeding
 How much bleeding
 Swallowing of blood
 Pain
 Cough
 Vomiting
History…

 Blood stained saliva


 Food intake, and type of food
EXAMINATION

 Assessment should be quick


 General state of patient
 Pulse Rate
 Blood Pressure (B.P)
 Respiratory Rate
 Examination of Oro-pharynx
Examination of Oro pharynx
INVESTIGATIONS

 Investigation is done by following tests


 Complete Blood Count (CBC).
 Prothrombin time (PT).
 Activated Partial Thrombin Time (APTT)
 Serum Electrolyte level.
 Blood grouping
TREATMENTS

 Two type of treatments will be included

 Conservative

 Surgical
CONSERVATIVE TREATMENT

 Cold water and Hydrogen Peroxide gargles


CONSERVATIVE TREATMENT

 I/V (Intravenous) Fluid i.e. Normal saline


Conservative…

 Plasma Expender
 Fresh Frozen Plasma ,If available
Conservative…

 Transmine Injection
SURGICAL TREATMENT

 Ligature of large arteries of neck


Surgical…

 Suturing of Focal Pillars


Surgical…

 Packing of Oro-pharynx
Surgical…

 Blood transfusion if needed

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