skin, ophth, ENT: ch: 8-10 Flashcards
margins for basal cell carcinoma
1 mm margins
margins for SCC
0.5-2 cm
disseminated melanoma treatment
interferon
dacarbazine (chemo)
pembrolizumab (immuno)
strabismus with parents that are reliable and say child did not have it in early years but developed later in infancy then what is problem and treatment
exaggerated convergence
corrective glasses
congenital cataract management
remove so do not develop amblyopia
orbital cellulitis with fixed dilated pupl and limited eye ROM what do you do next
CT and drain
treament for embolic occlusion of retinal artery
hypervent in paper bag
press on eye
then surgery
mushy ill defined mass that occupies supraclavicular area and extends deeper into the chest is what
what must be done
cystic hygroma
CT scan then surgery to remove
most recently discovered enlarged LNs are what and workup
benign
H and P then f/u in 3-4 weeks to see if still there
multiple larger LNs with B symptoms
workup
tx
lymphoma
node removal and path study
chemo is treatment
first manifestation of SCC of head and neck and pt pop
and diagnoses
old men: smoke, drink, bad teeth
metastatic node in neck (jugular chain)
triple endoscopy
biopsy tumor
CT scan stage
treatment SCC head and neck
resect, radical neck dissection and radiotherapy (platinum based)
persistent painless ulcer in floor of mouth, persistent hoarseness and persistent unilataeral earache may be what
SCC of head and neck
adult with sensory hearing loss in one ear but not other with no risk factors and diagnosis
acoustic nerve neuroma
MRI
diagnosing facial nerve tumor
gadolinium enhanced MRI
parotid tumors main type
pleomorphic adenoma
treatment parotid tumor
superficial parotidectomy (deep too if tumor is deep to facial nerve)
treatment foregin body pediatric
endoscopy under anesthesia
abscess of floor of mouth from bad tooth infection is what and what can be complication
ludwig angina
airway compromise, may need to intubate or use tracheostomy
bells palsy can use what meds
antiviral or steroids
diplopia, facial pain and high fever in pt with frontal or ethmoid sinusitis
what is this and dx and tx
cavernous sinus thrombosis
MRI
IV Abx for 3-4 weeks
-3rd or 4th gen ceph and penicillinase
can drain paranasal sinuse
nose bleed from 18 year old probably what 2 things and treatment
China white use: septal perforation need posterior packing
nasopharyngeeal angiofibroma: surgery
inner ear or cerebral dizziness? and treatment
1) room spinning
2) pt unsteady but room stable
1) inner ear, meclizine, promethazine, diazepam
2) cerebral, neuro workup
vertigo, tinnitus, hearing loss and treatmetn
meniere
diuretics
