Ramu, 15 yrs of age presents with hemorrhage 5 hrs after tonsillectomy. Treatment of choice is –
**Core Concept**
Post-tonsillectomy hemorrhage, also known as secondary hemorrhage, is a severe complication that can occur after tonsillectomy. It is defined as bleeding that occurs more than 24 hours after surgery, but in this case, Ramu presents with hemorrhage 5 hours after tonsillectomy, which is considered primary hemorrhage.
**Why the Correct Answer is Right**
Primary hemorrhage after tonsillectomy is a medical emergency that requires prompt treatment. The treatment of choice is **re-exploration in the operating room**. This involves taking Ramu back to the operating room for further evaluation and possible surgical intervention to control the bleeding. The primary goal is to stop the bleeding and prevent further complications.
**Why Each Wrong Option is Incorrect**
**Option A:** Suctioning of the oropharynx may help control bleeding temporarily, but it is not the definitive treatment for primary hemorrhage after tonsillectomy.
**Option B:** Administering nasal decongestants may help reduce nasal congestion, but it does not address the underlying cause of bleeding.
**Option C:** Applying pressure to the oropharynx with gauze may help control bleeding in some cases, but it is not a reliable method for primary hemorrhage after tonsillectomy.
**Clinical Pearl / High-Yield Fact**
In cases of post-tonsillectomy hemorrhage, it is essential to have a high index of suspicion for bleeding and to have a plan in place for immediate re-exploration in the operating room if bleeding occurs.
**Correct Answer:** C. Re-exploration in the operating room.