Ch 3 Neck Flashcards

1
Q

Which two veins joing to form the external JUGULAR vein?

A

(dorsally) MAXILLARY vein and (ventrally) LINGUOFACIAL vein
They do this (join) just caudal to the mandibular salivary gland.

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2
Q

Which muscle lies between the common carotid artery and the external jugular vein?

A

m. sternocephalicus

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3
Q

The common carotid artery branches into the ___________________ and _____________ medial/lateral to the mandibular salivary gland.

A

external and internal carotid
MEDIAL

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4
Q

what is the carotid bulb?

A

it’s a focal dilation at the origin of the internal carotic artery

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5
Q

The mandibular salivary gland has a large, characteristic central ______.

A

hilum

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6
Q

Medial retropharyngeal lymph nodes are wider cranially/caudally.

A

cranially they are wider, caudally more fusiform.

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7
Q

Normal motion of the vocal folds is ab/adduction during ins/expiration - choose correct matches.

A

abduction during inspiration
adduction during expiration

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8
Q

Overall vocal fold and cartilage movement during respiration should be significant / minimal / none.

A

minimal

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9
Q

What are the main landmarks for the para/thyroid glands?

A

Just caudal to the larynx, they lie between the common carotid artery and the trachea.
Dorsally is the esophagus.
Ventrally is musculature: sternohyoid, sternothyroid mm.

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10
Q

Typically, how many parathyroid glands are there?

A

Total 4, 2 per side (1 internal, within the parenchyma, and 1 external, at the cranial aspect of the thyroid gland)

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11
Q

What are the normal dimensions of a parathyroid gland?

A

<2mm diameter
<3.3mm long

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12
Q

_______________may be mistaken for parathyroid glands (similar appearance).

In the image - look at what the arrows are pointing to

A

thyroid lobules, i.e. pieces of thyroid that are separated by fibrous tissue from the rest of the thyroid (but it’s still thyroid tissue, and not parathyroid)

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13
Q

Ultrasound waves can penetrate the tympanic bulla wall - true or false?

A

True - it is thin enough, and so any soft tissue or fluid in the middle ear should be visible

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14
Q

Which vessel can be identified caudolaterally to the tympanic bulla, at the junction with the external ear canal?

A

maxillary a.

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15
Q

The tongue is attached to which paired muscles?

A

Mylohyoid mm.
Geniohyoid mm.

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16
Q

The mylohyoid muscle originates ____ and inserts ____.
The geniohyoid muscle originates ____ and inserts ____.

A

medial mandible (mylohyoid), ramus (geniohyoid)
Both attach at they basihyoid bone caudally.

17
Q

Which vessels are visible in this transverse orientation of the tongue?

A

lingual and sublinguals vv.

18
Q

Which is more conspicuous - acute or chronic thrombus?

A

Chronic; acute thrombi may be anechoic, and so only recognised by a flow void on Doppler.

19
Q

carotid-body tumours are what type of tumour?

A

neurocendocrine tumors

20
Q

Where are carotid body tumours typically located?

A

at the bifurcation of the common carotid artery into internal/external carotid aa., dorsolateral to the larynx

21
Q

What could carotid body tumours be confused with (due to their location close to the carotid a.)? i.e. what is a differential

A

ectopic thyroid mass

22
Q

10y dog e.g. brachycephalic

A

chemodectoma, with thrombus (Doppler image)

23
Q

M = mandibular salivary gland
* = ?

24
Q

Tumors of the mouth often metastasize to the __________ lnn.

A

mandibular

25
Which movement (assessable by US) is absent in dogs with laryngeal paralysis?
Abduction of the cuneiform processes and vocal folds (is absent). *Approx. 50% dogs will have (abnormal) dorso-ventral movement of the arytenoid
26
What appearance of the thyroid glands on US is possible with feline hyperthyroidism?
1. a discrete nodule within the thyroid gland (adenoma) 2. diffuse enlargement (hyperplasia or adenoma), with/out cavitation
27
Hyperplastic thyroid glands are hyper / hypo - echoic to surrounding tissue and normal thyroids. What about hypothyroid galnds?
both are hypo
28
Hypothyroid glands are usually rounded - T or F.
False, this can happen in normal dogs, too.
29
thyroid in cats - dg?
adenomas A - partially cystic B - solid adenoma C - completely cystic with echogenic fluid (looks like a mass(
30
What percentage of thyroid carcinomas are mineralised?
50%
31
what is a common LN met site for thyroid carcinomas in dogs?
medial retropharyngeal
32
What are 2 common and 1 less common cause of primary hyperparathyroidism?
common: hyperplasia, adenoma less common: adenocarcinoma
33
How does US help differentiate between primary and secondary hyperparathyroidism?
In primary, a single parathyroid gland will have a nodule. In secondary, all the glands will be mildly enlarged (hyerplastic).
34
What is the cut-off for the size of a nodule, for (most likely) differentiating parathyroid adenoma/carcinoma from hyerplasia (either primary or secondary hyperparathyroidism)?
4mm >4mm : adenoma, carcinoma <4mm : 1' or 2' hyerplasia HINT TO REMEMBER - there are 4 parathyroid, and the cut of is 4mm
35
How does acute vs chronic renal failure impact the size of the parathyroid glands?
In chronic renal failure, the parathyroid glands are longer. in acute, they are similar (2.7mm) to normal (3.3mm) (they are hyperplastic)