Head And Neck Flashcards
Superior orbital Fissure
Lacrimal nerve Frontal nerve- branch of ophthalmic nerve of trigeminal nerve Superior ophthalmic vein Trochlear nerve Superior division of N3 Nasociliary nerve-branch of of ophthalmic nerve - CN 5 Inferior decision of oculomotar nerve Abducens nerve A branch of the inferior ophthalmic vein
Foramen rotundum
Maxillary nerve
Foramen ovale
Mandibular nerve
Accessory meningeal artery
Internal acoustic m’étais
Facial and vestibulocholear nerve
Vestibular ganglion
Labyrinth artery
Jugular foramen
Anterior-inferior petrosal sinus
Middle -IX, X, cranial part of accesory nerve
Posterior- sigmoid sinus, meningeal branches of occipital and ascending pharyngeal arteries
Foramen spinosum
Middle méningeal artery+vein
The meningeal branch of CNV3
Berry’s sign
Absence of carotid pulse due to malignant thyromegaly
MEN I
Pancreatic Islet cell tumour
Pituitary adenoma
Primary Hyperpathyroidism
MEN II a
3*C
Cathecolamine( Pheochromocytoma)
Calcium( Primary Hyperpathyroidism)
Calcitonin( Medullary carcinoma)
MENII b
Cathecolamine( Pheochromocytoma)
Calcitonin( Medullary carcinoma)
Marfanoid Habitus
Multiple Neuromas
Mikulitz vs Sjogren
Sjogren is associated with inflammatory disease
If pt has Mickulicz- high risk of developing lymphoma
Classics signs Miculitz
Dry mouth+ dry eye
Malignant otitis externa
Pseudomonas Diabetes/immunosuppressive Severe, unrelenting, deep-seared otalgie Temporal headache Purulent pyorrhoea Possibly dysphagia, hoarseness, and/or facial nerve dysfunction
Facial beach at the middle ear
Greater petrosal nerve
Nerve to stapedius
Chords tympani
Facial nerve branches from the parotid
Temporal branch Zygomatic branch Buccal branch Marginal mandibular branch Cervical branch
Palliative treatment in pancreatic cancer
liver mets
Treatment in Hyperpathyroidism
Elevated Ca> 1 mg/dl than normal Hypercalciuria Creatinine Clarence < 30% compared with normal Life threatening hyper Alvarado’s Nephrolithiasis Age <50 Neuromuscular symptoms Reduction in bone mineral density of the genital neck, lumbar spine, or distal radius of more than 2.5 standard deviation below peak bone mass
Surgery for secondary Hyperpathyroidism
Bone pain
Persistent pruritus
Soft tissue calcifications
Oxyphil cells
Parathyroid
Nerves injury during endarterectomy
Hypoglossal nerve
Greater auricular nerve
Superior laryngeal nerve
Internal carotid artery relations in the carotid canal
Internal carotid plexus
Cochlea and middle ear cavity
Trigeminal ggl
Leaves canal lies above the foramen lacerum
Anaplastic carcinoma
Elderly females
Local invasion is a common feature
Account 10% of thyroid cancer
Parasympathetic fibres for lacrimal apparatus
Pterygopalatine
Sensory innervation of the lateral aspect of the nose
Ethomoid n.
Nasopharyngeal carcinoma triad
Trotter triad- unilateral conductive hearing loss
Ipsilateral facial and ear pain
Ipsilateral paralysis of soft palate
Virus associated with nasopharyngeal carcinoma
EBV
Lymphatic drainage of the auricle
The lateral upper half - superficial parotid nodes
The cranial surface of the superior half - mastoid nodes and deep cervical lymph nodes
The lower half and lobule- superficial cervical lymph nodes
Vascularisation of lacrimal gland
Ophthalmic artery and vein
Tonsil vascularisation
Tonsilarbatrery
Choanal atresia
Worse cyanosis during feeding
Cry back to normal
Choanal atresia
Worse cyanosis during feeding
Cry back to normal
Cavernous syndrome components
Lateral wall - oculomoteur nerve Trochlear nerve Ophthalmic nerve Maxillary nerve Contents: - internal carotid artery+ and une a nerve
Nerves at risk during branchial cyst excision
Mandibular branch of facial nerve
Greater auriculaire nerve
Accessory nerve
Hyperparathyroidism Surgery
Serum Ca> 1 over upper limit Hypercalciuria > 400 mg/day Cr Cl< 30% Episode of life threatening hypercalcaemia Nephrolithiasis Age <50 Neuromuscular symptoms Reduction in bone mineral density of the femoral neck, lumbar spine, or distal radius of more that 2.5 standard deviation below peak bone mass
She is pain in the medial ear after tonsillectomy
Glossopharyngiennes nerve supplies the tonsils and the medial ear
Kocher criteria
Septic arthritis Non weight bearing on affected site ESR>40 Fever WBC> 12
Innervation done by laryngeal nerve
All the intrinsic larynx muscle except cricothyroid
Superior laryngeal function
Crycothyroid
Singing voice
Middle thyroid vein drain
Internal jugular
Parasympathetic CN
X IX VII III