Head and Neck Anatomy Flashcards

1
Q

Blood supply to head and neck

A

ECA

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2
Q

What are branches of ECA + mnemonic (inferior to superior)

A
Some anatomist like freaking out poor medical students
Superior thyroid
Ascnding pharyngeal
Lingual
FAcial 
Occipital
Posterior auricular
Maxillary
Superficial temporal
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3
Q

Does ICA have branches

A

No

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4
Q

When does CCA bifurcate

A

At level of superior thyroid cartilage

Carotid sinus - Baro and carotid body (chemoreceptor) lie here

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5
Q

3 salivary glands

A

Parotid
Submandibular
Sublingual

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6
Q

Nerve supply to tongue

A

Somatic
Anterior 2/3 = V3 of trigeminal
Posterior 1/3 = glossopharyngeal

Taste
Chordae tympani

Intrinsic
Hypoglossal

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7
Q

What does unilateral hypoglossal palsy cause

A

Deviation of tongue toward affected side

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8
Q

Topography of neck

A
1 = under jaw in midline 
2/3/4 = going down anterior triangle 
5 = posterior triangle 
6 = hyoid area
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9
Q

Anterior triangle

A
Superior = mandible
Laterally = SCM 
Medially = midline
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10
Q

Posterior triangle

A
Anterior = SCM
Posterior = trapeizus
Inferior = clavicle
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11
Q

Nerve supply

A

CN

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12
Q

What is pharynx made up of

A
Nasopharynx
Oropharynx
- Palantine tonsils 
- Uvula in centre
- Palantine arches 
Laryngopharynx 
- Epiglottis 

Oesophagus is final part of laryngopharynx
Trachea = anterior

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13
Q

What do you see if you look with flex-nasa-endoscopy which goes through nose and hangs at soft palate and able to look a larynx

A

At front you will see epiglottis (at base of tongue)
Vocal cords surround airway
Posterior where oesophagus is

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14
Q

Role of epiglottis

A

Folds over voice box (larynx) when swallow to prevent food going down wrong way

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15
Q

L recurrent nerve path

A

From vagus
Aorta on L and subclavian on R
Runs in tracheo-oesophegeal groove

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16
Q

Hx of head and neck Sx

A
Onset and duration
THROATS
Tender
Hoarse
Reflux Sx 
Obstruction - dysphagia
Airway - dyspnoea
Temperature 
Sweats and weight loss
17
Q

PMH

A

Any lumps inn childhood
Previous cancer
GORD

18
Q

DH

A

Reflux meds

Thyroid as goitre compress

19
Q

SH

A

Smoking and alcohol

Travel - TB

20
Q

Important examination

A
Inspect oral cavity
Bimanua salivary duct
- Parotid = upper 2nd molar
- Submandibular = either side of tongue frenulum 
Flexible naso-endoscopy
Neck lumps
LN
Thyroid
CN