Pt presented with hemoptysis 7d post-tonsillectomy. What is the next step?
a. Packing
b. Oral antibiotics + discharge
c. Admit + IV antibiotics
d. Return to theatre and explore
e. Ice cream and cold fluids
answer: C
Secondary hemorrhage due to infection
(1) During the first 48 hours (reactionary haemorrhage) because a clot
in a vessel has been displaced, or a ligature has slipped. Or, (2) 8
to 14 days later (secondary haemorrhage) when the wound has become
infected and eroded a vessel, usually quite a small one, sometimes a
larger one.
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