ENT Flashcards
Sudden onset of FIRM/ERYTHEMATOUS swelling of pre- and post-auricular areas extending to mandible angle + NOT FLUCTUANT in ELDERLY PTS who are dehydrated
ACUTE SUPPURATIVE PAROTITIS (#1 = STAPH AUREUS)
Need needle aspiration, hydration, IV Abx, SURGICAL I&D
What makes a SALIVARY GLAND TUMOR malignant? most of them are benign
Involvement of MINOR SALIVARY GLANDS
Infection of submandibular space associated with TOOTH INFECTION** and USUALLY POLYMICROBIAL + Tongue elevation/protruding (leading to AIRWAY OBSTRUCTION)
LUDWIG’S ANGINA
Extremely swollen and fluctuent tonsil with uvula deviation = ?
PERITONSILLAR ABSCESS
Persistent sore throat (initially diagnosed and treated as strep) by FUSOBACTERIUM NECROPHPHORUM (Gm- producing endotoxin) + TORTICOLLIS, TRISMUS, DYSPHAGIA + THROMBOPHLEBITIS + Embolic infection of other organs
LEMIERE’S SYNDROME - post-anginal sepsis
Midline mass in ANTERIOR NECK of a child (typically Asx)
THYROGLOSSAL DUCT CYST
ANTERIOR TO SCM = ?
ORAL CAVITY, OROPHARYNX, LARYNX
POSTERIOR TO SCM =
NASOPHARYNGEAL CANCER
80% of malignancies of the neck are __
SQUAMOUS
Pain out of proportion to physical exam - ALWAYS THINK of what type of pathology?
ISCHEMIA - COMPARTMENT SYNDROME
Fractures associated with vascular injury:
#1 = SUPRACONDYLAR HUMERAL FRACTURE (KIDS) #2 POSTERIOR HIP DISLOCATION #3 POSTERIOR KNEE DISLOCATION #4 FEMORAL NECK FRACTURE
FALL ON OUTSTRETCHED HAND, HUMERUS COMES FORWARD - what type of fracture?
SUPRACONDYLAR FRACTURE
risk of injuring BRACHIAL ARTERY + ULNER NERVE injury possibly
AVASCULAR NECROSIS
Avascular necrosis of head of femur = very disabling problem
Which type of hip dislocations are most common? POSTERIOR hip dislocations»ANTERIOR hip dislocations
POSTERIOR hip dislocations»ANTERIOR hip dislocations
JOINT that is hot and swollen
ALWAYS ASPIRATE first
SEPTIC arthritis as a possibility