Clinics With Dr Nathan

Question 1

Cystic l/nodes mets are from what primary?

Answer 1

Hpv positive oropharynx
Thyroid cancer

Question 2

Sarcoidosis location in head and neck?

Answer 2

Epiglottis, supraglottis in general

Question 3

Spasmodic dysphonia treatment

Answer 3

Botox

Question 4

Most often location of spindle call carcinoma?

Answer 4

Larynx

Thompson 2002 paper, 187 cases

Question 5

Soft palate surgery vs RT

Answer 5

Surgery if tumor superficial

Why not surgery - regurgitation, island cancerization, retropharyngeal nodes

Question 6

F/C/WL

Answer 6

Fever, chills and weight loss

Question 7

SOB

Answer 7

Shortness of breath

Question 8

Epistaxis management

Answer 8

ABCD first

Merocel nasal packing
Rapid Rhino
Rhino Rocket

Question 9

Patient with hoarseness reporting

Answer 9

1. Reflux, coffee, work, use of voice, passive smoking
2. History of procedures
3. Radiation

Question 10

How to say neck tissues are enlarged due to inflammation in lay language

Answer 10

Swelling

Question 11

A__________ - is a cutaneous malignancy that arises in the setting of previously injured skin, longstanding scars, and chronic wounds.

Answer 11

A Marjolin ulcer is a cutaneous malignancy that arises in the setting of previously injured skin, longstanding scars, and chronic wounds. Historically, Marjolin ulcers are named for French surgeon Jean Nicolas Marjolin and first described as ulcerations with dense villi arising within a burn cicatrix. Squamous cell carcinoma is the most frequent malignancy identified, although other cell types have been described (i.e., basal cell carcinoma). Lesions are aggressive and carry a poor prognosis with a high rate of recurrence. This activity reviews the cause, pathophysiology, and presentation of Marjolin ulcer and highlights the role of the interprofessional team in its management.