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19 Cards in this Set
- Front
- Back
what are the 3 major support mechanisms for the tip of the nose?
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1. integrity of the medial and lateral crura
2.attachment of the medial crural feet to the caudal end of the quadrangular cartilage (septal cartilage 3. scroll-like attachment of the caudal end of the upper lateral cartilage to the cephalic margins of the lateral crura |
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what is the ideal nose?
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one that is balanced with the rest of the face
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what is Rhinophyma?
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get these huge nasty bulbs on the nose
occurs as a result of Rosacea |
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what do the Turbinates do in the nose?
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add moisture to the air
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The Seven Functions of the nose
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Respiration - breathing
Olfaction - smelling Humidification – add moisture to the air Temperature modification – warms the air Particle filtration – cleanses the air Phonation – speech production Interpretation – mating, etc |
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what is the treatment for deviated nasal septum?
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surgery
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Nasal obstruction can lead to what breathing problem... (this card sucks, just read it)
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obstructive sleep apnea
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shearing forces can lead to what in the nose?
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the cribiform plate can lop off the end of the olfactory nerve, you lose the ability to smell/taste
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what is the difference btw acute and chronic sinusitis
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ACUTE – lasting up to 4 weeks, with total resolution of symptoms
CHRONIC – 12 weeks or more of signs / symptoms |
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what normally precedes rhinosinusitis?
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viral upper resp tract infection
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Acute Sinusitis:Bacterial vs. Viral
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viral: can't breathe, ton of drainage, puritis, similar to allergies, short
bacterial:Symptoms worsening after 5–7 days, or persisting more than 10 days, or out of proportion to those typically associated with viral URI |
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what are 4 symptoms that you have to have to diagnose acute sinusitis? physical exam...
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nasal congestion,
facial pain (headaches), purulent drainage, decreased sense of smell |
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what are the 3 objective findings of acute sinusitis?
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mucopus in middle meatus
polyps seen on catscan |
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A “cold” lasting more than 10 to 14 days
- Thick, yellow-green nasal drainage - Postnasal drip, sometimes causing sore throat, cough, bad breath, nausea, and/or vomiting - “Headache” - Irritability or fatigue - Swelling around the eyes in a child are findings of what? |
Pediatric Sinusitis
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ptosis of the eye and visual problems are complications of what?
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Pediatric Sinusitis
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what are 3 likely causes of chronic sinusitis
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staph,
gram neg (kleb) fungal |
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Can Allergies cause Sinusitis?
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Depending on the study, there is a 25% - 75% concordance of allergy & rhinosinusitis
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infection vs allergy
drainage (DRAAAAAAAAAINNNNNNNNAGGGGGGGEEEEEEE) |
infection: thick drainage
allergy: thin watery discharge |
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you have treated a pt and their sinusitis hasn't gotten better what are 3 possible reasons
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Did not improve the Sinus Environment
Improper Antibiotics Inadequate Length of Therapy (Minimum two week course of treatment Increase in two week increments) |