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22 Cards in this Set
- Front
- Back
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What is presentation of sq cell Ca? Where does it hit What is treatment? x3
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i)nonhealing ulcer ii)the lower lip and below iii)a)excision w/.5-2 cm margins b)nodal dissection if affected c)possible radiation
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What is interesting about mets of melanoma? what is the timetable like?
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i)can go anywhere, like muscle of LV ii)not predictable: can be dead in a few months to 20 years b/w resection of primary and metastasis |
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What are sxs of retinal detachment? x2 What is bad prognostic factor?x2 What is intervention and is it an emergency?
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i)a)floaters b)light flashes ii)a)snow storm in the eye or b)dark cloud at top of visual field: horshoe piece of retina pulled away and can rip out retina at rest. iii)emergency intervention w/laser spot welding |
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What is time line of the 3 kinds of neck masses?
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i)congenital: have had it for long time, acutely worse ii)inflammatory: days to few weeks, and resolves after few weeks. iii)neoplasm: several months of growth |
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Where is thyroglossal duct cyst? x2 What are they connected to? What is removed in surgery? x3
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i)a)midline b)level of hyoid ii)tongue iii)a)cyst b)middle of hyoid c)track leading to base of tongue |
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Where are branchial cleft cysts?
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along anterior edge of SCM, anywhere from in front of tragus to base of neck |
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where is cystic hygroma? What does it feel and look like? What is mandatory b/4 surgery?
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i)base of neck ii)large, mushy, ill-defined mass occupying entire supraclavicular area, seemingly extending into chest iii)CT b/c may extend into chest |
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What do you do for recently discovered enlarged LNs?
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usually benign, so complete H and P w/followup in 3-4 weeks. W/u if still there
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who gets lymphoma? What is presentation? x3 What is first steps? x2
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i)young people ii)a)multiple enlarged nodes b)low grade fever c)night sweats iii)a)FNA can be done, but b)node removal and give to pathology |
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What is the usual source of metastatic tumor to supraclavicular nodes? How to get dx?
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i)not from head and neck but below clavicle (lung or intraabdominal tumors) ii)node removal w/pathology |
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Who gets sq cc of mucosae of head and neck? x2 What is diagnostic w/u? What establishes diagnosis and what demonstrates extent? What can be done of the node itself, and what shouldn't be done? Why? what is treatment? x3
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i)a)men who smoke and drink b)AIDS pts ii)panendoscopy to find primary iii)biopsy of primary; CT shows extent iv)FNA can be done, but open BX of neck mass shouldn't v)incision in neck will interfere w/surgical approach vi)a)resection b)radical neck dissection c)radiotherapy and platinum therapy |
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What are some symptoms of sqCC? x3
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i)hoarseness ii)persistent painless ulcer on floor of mouth iii)persistent unilateral earache |
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What is presentation of acoustic nerve neuroma? What is best diagnostic modality?
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i)sensory hearing loss in one ear but not the other ii)MRI |
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what are symptoms of facial nerve tumors? What is best study?
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i)gradual, unilateral facial nerve paralysis of forehead and lower face (paralysis suddenly=Bells palsy) ii)gadolinium enhanced MRI
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What are most parotid tumors cell type? Are they benign? What are symptoms of parotid cancer? x2 What can be done to get tissue and what can't? What is the appropriate way to excise/biopsy parotid tumor? Why? What is done for malignant tumors to treat?
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i)pleomorphic adenoma ii)yes, but malig potential iii)a)hard mass b)painful c)produces paralysis (these don't happen in benign ones) iv)FNA; open BX v)parotidectomy vi)prevents recurrence and spares facial nerve vii)nerve is sacrificed and graft is performed
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What is the cause of unilateral ENT problems in toddlers? (earache, rhinorrhea, wheezing) What is tx?
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i)foreign bodies stuck there ii)endoscopy under anesthesia
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What is ludwig angina and what is the cause? What is the problem with this that is why it is an emergency? What do you do? What may be needed? x2
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i)abscess of floor of mouth; bad tooth infxn ii)threat to the airway iii)I and D iv)intubate and tracheostomy
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What do you do for bell palsy?
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prompt administration of anti-viral meds |
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Do facial nerve injuries due to trauma ever have delayed paralysis? Why do they get it later, and what will happen?
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i)no: get paralysis immediately ii)if get later, due to swelling and will resolve on own
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What is symptom of cavernous sinus thrombosis? What is it due to? How to manage? x4
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i)get diplopia ii)frontal or ethmoid sinusitis iii)a)emergent hospitalization b)IV abx c)CT scans d)drainage of affected sinuses
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what can you treat epistaxis in kids with? What do kids get it from? 18 y/o? x2 What do you need to do for each of these cases? What is management of elderly and hypertensive getting epistaxis? x2 What is last line therapy?
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i)phenylephrine spray and local pressure ii)pick nose iii)a)coke b)juvenile nasopharyngeal angiofibroma iv)a)posterior packing b)surgical resection b/c can eat at nearby structure v)a)BP control b)posterior packing vi)surgical ligation of feeding vessels |
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What is diff in dizziness due to inner ear disease vs cerebral disease? What is treatment for each?
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i)inner ear: room spinning around them ii)brain: unsteady pt but room is perceived to be stable iii)a)meclizine, phenergan, or diazepam b)neurologic w/u
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