THE NECK Flashcards
What are the boundaries of the Anterior Triangle??
- Inferior border of Mandible
- Anterior border of Sternocleidomastoid
- Sagittal line down midline of neck
What are the borders of the Posterior Triangle??
- Posterior border of sternocleidomastoid.
- Anterior border of trapezius
- Middle 1/3 of the clavicle
Name 5 characteristics of Neck Swelling??
S
site, size, shape, surface
C
colour, consistency, compressible
T
trans-illuminable, tender, temperature, tethered
Where is Virchow’s node and what does it signify??
Left sided Supraclavicular Node
Drains lymph of abdomen
Sign of Gastric cancers, gonadal & kidney.
Name 4 causes of enlarged cervical nodes?
Haematological/Metastatic Cancers
Viral/Bacterial Infection
Tuberculosis
Lymphomas
Tonsilitis
Streptococcal infection
Fever
Exudate tonsils
Cervical lymphadenopathy
Penicillin V 10 days
What is Quinsy??
Build up of of pus due to infection (abscess) behind tonsil
Fever, Throat pain, pain opening mouth
Pain worse one side, Uvula deviation
Antibiotics/Surgical Drainage
What is Impetigo?
Staphylococcal skin infection
‘GOLDEN CRUST’
Antibiotic Cream
Oral Antibiotics
Very infectious
Features of Hypothyroidism?
Dry skin, coarse hair
Lateral eyebrow loss
Periorbital oedema
Reduced Reflexes
What is Goitre?
Swelling of enlarged thyroid gland
Moves when swallowing
IF BREATHLESS URGENR REFERALL
Causes of Goitre
- Hyper/Hypothyroidism
- Hormone change puberty, pregnancy, menopause
- Iodine deficiency
- Thyroiditis
-Thyroid cancer
Retrosternal Goitre
Dullness to percussion upper sternum
Pemberton’s sign- venous obstruction in patients. Sign is positive when bilateral arm elevation causes facial reddening .
Dangers of Thyroid Surgery
Recurrent laryngeal nerve injury(voice change)
Hypocalcaemia
Infection
Signs of Horner’s Syndrome
Ptosis- Upper eyelid drooping
Miosis- constriction of pupil
Anhidrosis- decreased sweating
What is Torticollis?
Spasm of Sternocleidomastoid
Head pulled to one side-unable to turn
