Head and Neck history taking Flashcards
Neck node levles
S
what is bifid uvulae?
2 uvulaes
what do normal vocal chords look like?
pearly white colour
Head and Neck Investigateions
FNAC
Endoscopy
CT/MRI/PET
xray
Contrast Swallow
US scan
7 S’s to ask about lumps
size
site
sore
soft
stuck
skin
shape
What are the features of a reactive lymph node?
Oval
Soft
Smooth
Mobile
Tender
when do salivary glands become painful?
if they have a stone in then they might swell up and become painful when salvating
lung cancer voice issues
if high up mestastases that press on the recurrent laryngeal nerve. Causes horse voice due to left vocal chord not being innervated anymore through compression of the nerve
FOSIT meaning
Feeling Of Something In Throat
Is FOSIT a red flag symptom?
No, it’s caused by the spasm of the cricopharyngeus muscle
Common sites for tumours in head and neck? What type of tumour is it ususally?
throat, voice box (larynx), tongue (mouth)/oropharynx, nasopharynx, hypopharynx, usually due to squamous cell carcinoma
Signs of airway obstruction
Stridor,
What is quinsy?
complication of tonsilitis, needs to be drained (pus in the tonsil) big n red
