Head & neck Flashcards
What are the common symptoms in head and neck cases?
Sore throat
Dysphonia
Dysphagia
Odynophagia
Ulcers
Neck lumps
Name parts of pharynx
nasopharynx, oropharynx, laryngopharynx
name the parts of the larynx
Supraglottis
Glottis
Subglottis
Name the major salivary glands
parotid, submandibular, sublingual
In what condition would a thyroid bruit be done?
Grave’s thyroiditis
In what condition would a carotid bruit be done?
Carotid stenosis
Name the throat examinations
Fibreoptic nasolaryngoscopy
Rigid laryngoscopy
What is the investigation done for a neck lump?
FNAC
Name the investigations done for head and neck?
FNAC
CT
MRI
PET
US
X ray
Contrast swallow
Endoscopy
What are the characteristics of reactive lymph nodes?
Oval
Soft
Smooth
Mobile
Tender
What can cause salivary gland swelling?
Tumour
Inflammation
Name the benign causes of hoards
Nodules
Cysts
Vocal abuse
Smoking
Infection
Reflux
Where is dysphagia well localised?
Neck
What are the causes of dysphagia in the lumen?
Foreign body
What are the causes of dysphagia in the wall?
Tumour
Stricture
Neuromuscular
Pouch
What are the extra luminal causes of dysphagia?
Thyroid
Heart
Mediastinal mass
What is the investigation for dysphagia?
Barium swallow
What are the causes of globes pharyngeus?
Acid reflux
Stress/ anxiety
What are the benign causes of head and neck disorders?
Congenital
Infective
Inflammatory
Trauma
Neoplasia
What is the most common cancer found in the head and neck?
Squamous carcinoma
Where are the common sites of head and neck cancer?
Oral cavity
Larynx
Oropharynx
Nasopharynx
Hypopharynx
Describe the characteristics of malignant neck nodes
Round
Firm
Irregular
Fixed
Non-tender
What are the signs of airway obstruction?
Stridor
What are the causes of airway obstruction?
Infection
Tumour
Foreign body
What is the treatment for airway obstruction
Humidied O2
Steroids
Adrenaline nebulisers
Secure airway
When should a tonsillectomy be considered?
Bacterial tonsillitis
6-7 attacks in 1 year
Disrupting daily activities
More than 1 quinsy
What are the symptoms of bacterial tonsillitis?
Pus covering
Neck nodes
Fever
No cough