Head and Neck History and Investigations Flashcards

1
Q

What would you auscultate a thyroid for a bruit?

A

Graves thyroiditis

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2
Q

What would you auscultate a carotid bruit for?

A

Carotid stenosis

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3
Q

What does FNA stand for?

A

Fine needle aspiration

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4
Q

Features of a reactive lymph node

A
Oval 
Soft
Smooth 
Mobile 
Tender 
Enlarged
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5
Q

What can a laryngeal carcinoma lead to?

A

Laryngeal stoma

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6
Q

What is parotitis?

A

Inflammation of the parotid gland

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7
Q

SIGN guidelines for tonsillectomy

A
Bacterial tonsillitis 
6 - 7 attacks in one year 
5 attacks per year over 2 years
3 attacks per year over 3 years 
Disrupting daily activities
More than one quinsy
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8
Q

What is a quinsy?

A

Peritonsillar abscess

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9
Q

What is quinsy a complication of?

A

Tonsillitis

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10
Q

How can asthma cause hoarseness?

A

Inhalers can irritate the vocal cords if dont wash mouth

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11
Q

Causes of hoarseness

A
Nodules
Cysts 
Vocal abuse
Laryngitis 
Infection 
Smoking 
Reflux 
Rhinosinusitis
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12
Q

What colour should vocal cords be?

A

Pearly white

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13
Q

What does it mean if drinking is a problem, but can eat food fine?

A

Neuromuscular problem

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14
Q

Causes of dysphagia

A
Foreign body 
Tumour
Stricture 
Neuromuscular 
Pouch 
Thyroid
Heart
Mediastinal mass
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15
Q

What does FOSIT stand for?

A

Feeling of something in throat

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16
Q

Pathology of FOSIT

A

Cricopharyngeus goes into spasm and feel a ball

17
Q

Presentation of FOSIT

A

Feel ball in throat
Clearing throat
Uncomfortable
Easier with food

18
Q

What does FOSIT not affect?

A

Swallowing

19
Q

Causes of FOSIT

A

Acid reflux

Stress / Anxiety

20
Q

Is FOSIT a red flag symptom?

A

No

21
Q

What electrolyte disturbance may a removal of a thyroid nodule cause?

A

Hypocalcaemia

22
Q

What ECG sign is seen in hypocalcaemia?

A

Prolonged QT interval

23
Q

What is a prolonged PR interval a sign of on an ECG?

A

Hypermagnesia

24
Q

What is a shortened ST segment a sign of on an ECG?

A

Hypercalcaemia