14 Clinical Cases II Flashcards

1
Q

Answer the questions in the purple boxes:

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Apart from motor fibres to th muscles of facial expression, what other functions are carried by the facial nerve?

A
  • Taste - anterior 2/3 of tongue
  • Parasympathetics
    • Lacrimal, nasal and salivary glands (sublingual and submandibular)
  • Stapedius muscle (ear)
  • General sensation to ear- relevant for ramsey hunt syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which nerve carries general sensation to the tongue?

A

Posterior 1/3 = IX glossopharyngeal

Anterior 2/3= Vc- Lingual branch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How might a doctor test the integrity of the facial nerve?

A

Test muscles of facial expression top to bottom

Use history- explore other feature/functions of facial nerve eg dry eyes?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What other areas would you examine to find potential causes of referred pain to the ear?

A

Throat, tonsils, TMJ joint, lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If a patient with mastoiditis presents to their GP, what should the GP do?

A

Refer straight to ENT

IV antibiotics

may require surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What other anatomical structures within the skull can potentially be affected by the spread of infection from the middle ear?

A

Dura- meningitis

Temporal lobe- absess

Sigmoid sinus- thrombosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly