Examination and Eval of the Airway Flashcards
Why do you examine and evaluate a
patient’s airway preoperatively ?
obtain the highest level of resolution possible
Do no harm during subsequent airway management
Obtain information needed for bag-and-mask ventilation
Obtain information needed for LMA insertion and management.
Obtain information needed for endotracheal intubation via DL.
label the axis
What is this
anisocoria
medical term for “without teeth, toothless”
edentuous
The prevalence of physiologic anisocoria in humans is
approximately
20%
when examining head and neck which glands should be assessed?
lacrimal
parotid
salivary
thyroid
what abnormal finding is this?
what abnormal finding is this?
overbite
what’s this dude’s problem?
acromegaly
abnorm GH causes elargement tissues
Which gland may be enlarged in alcoholics or patients with mumps
parotid
what is the increased horizontal distance between the maxillary and mandibular central incisors
overjet
(think of HOJ- Horizontal OverJet)
what is the increased vertical distance between the maxillary and mandibular central incisors?
overbite
(think of VOB - Vertical OverBite)
identify the glands circled
parotid
submandibular
what’s causing this ?
enlarged parotids
what are the levels of lymph node drainage?
- Lymph Node Drainage
- Level I - Submental and submandibular nodes
- Level II - Upper jugular nodes
- Level III - Middle jugular nodes
- Level IV - Lower jugular nodes
- Level V - Posterior triangle group
- Level VI - Anterior triangle group
- Level VII - Upper mediastinal nodes
what is the anterior head of the SCM
clavicular head
what is the posterior head of the SCM
mid-clavicle
with normal dental occlusion, what is the relationship between the central maxillary incisors and the central madibular incisors
slight overlap with no overjet
What are the borders of the posterior triangle?
trapezius m
clavicle
SCM
What are the borders of the anterior triangle
mandible
SCM
midline of neck
When assessing the eyes in the head and neck exam what will you examine/assess?
- lacrimal gland
- tear duct
- pupils
- appliances (glasses, contacts, prosthesis)
- do they use eye drops
what is PERLA?
Pupils Equal & Reactive to Light & Accommodation
what’s this?
conjunctivitis
what’s this?
subconjunctival hemorrhage
what’s this and what’s at risk?
exophthalmus
the corneas are risk of corneal abrasion
what is ptosis?
droopy eyelid
what 2 things, in regards to the eye, can be related to positioning and fluid management during the case?
Periorbital edema
Conjunctival edema
what should be examined in regards to the ear?
- external ear
- mastoid
- otitis media
- hearing impairment
- hearing aid (internal, external) – need in POHA, OR, PACU
what is major joint of c-spine that we are concerned with during examination?
atlanto-occipital joint
What’s the angle degree measurement of the atlanto-occipital joint
approx 35
a.k.a. the upper-lower dentition angle
what’s this ?
torus
what’s this?
gingival hyperplasia
what’s this?
gingivitis
inflammation of the gums
name and number the freakin’ teeth
what is normal mandibular length?
Normal ≥ 9 cm
(mandibular angle – mental symphasis)
what is the grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone.
crepitus
what is normal mouth opening in cm?
Normal ≥ 4 cm
Mouth Opening ~ 5 cm
- (rotation ~ 2.5 cm)
- (glide ~ 2.5 cm)
what is the medical term for Adam’s apple?
prominentia laryngis
Thyromental distance = _____ cm
Normal ≥ 6.5 cm
