Clinical Correlation Flashcards
The subclavian vein puncture is not without complications because a misplacement of a needle can puncture what structure?
Apical pleura— producing a pneumothorax
What are important complications if the internal jugular vein needle is displaced?
carotid artery
What is the clinical significance of jugular pulse?
Can assess the venous presuress and waveform–reflection of the functioning of the right side of the heart.
What is the usual symptom on thyroglossal duct cyst?
a midline mass—hyoid bone and entire duct must be surgically removed
What structures can be ligated or damaged during a thyroidectomy?
Recurrent laryngeal and parathyroid glands
Euthyroid is
normal thyroxine levels
Most common disorder of the thyroid gland is
Multinodular goiter —thyroid hypertrophy and colloid cyst formation
What hormone is overstimulated and causes atrophy of thyroid gland?
Thyroxine
Myxedema is
under secretion of thyroxine
Ectopic parathyroid glands
parathyroid glands fail to descend from pharyngeal pouches–high in neck or thorax
What causes recurrent laryngeal palsy?
Disruption of the recurrent laryngeal nerves anywhere along its path or disruption of the vagus nerve before it splits—can cause hoarseness in patients
Aortopulmonary window
cancer is between the pulmonary artery and aorta– can affect left recurrent laryngeal nerve
Cancer in the apex of the right lung can affect what structure?
Right recurrent laryngeal
What is the clinical significance of the cricothyroid ligament/membrane?
Gives access to the lower airway when the upper airway is blocked
The external ear (external acoustic meatus) is investigated by what device?
Ostoscope
The middle ear and inner is examined by what device(s)?
CT or MRI
What is otitis externa?
Also known as swimmer’s ear and is a painful infection in the external acoustic meatus
What is surfer’s ear?
most common in ppl who surf—- “bony lump” in the external acoustic meatus, reduces hearing of infected ear
What is otitis media?
common infection of the middle ear which can lead to perforation in tympanic membrane.
What is mastoiditis?
A secondary infection that spreads from the mucosa lining of the inner ear to the mastoid cells.]
Infection of the bone can spread to middle cranial fossa
Labyrinth hydrops (edema) or excessive fluid in the endolymphatic sac is associated with what infection of the ear?
Meniere’s
Meniere’s causes what symptoms?
Vertigo, roaring noises, or hearing loss, balance loss due to excess fluid pressure
What is acoustic nueroma?
That is when there is a tumor on CN 8—vestibular shawnnoma
unilateral hearing
can compress brain
Injury to lingual nerve where it meets the chorda tympani will cause a loss of sensation where?
anterior two-thirds of tongue, oral mucosa, gingivae, the lower lip, and the chin
If there is a lesion distal to site where lingual is joined by chorda tympani then what sensation will be lost?
secretion from salivary glands below oral fissure and taste from anterior two thirds of the tongue
What can cause extradural hematoma?
Blows to the head which damages the meningeal arteries thus causing blood to leak—under arterial pressure—slowly detaches dura mater from its bone