7. Scalp and Superficial Face Clinical from Lecture

Question 1

How does the neurovasculature of the scalp travel?

Answer 1

Inferior to superior

Question 2

Differentiate between a gaping wound and a non-gaping wound

Answer 2

Non gaping wounds only occur through the first 2 layers of the scalp, so the skin and the connective tissue Gaping wounds occur once the Aponeurosis is cut, because the tension pulls everything back together

Question 3

Where does a scalp infection occur?

Answer 3

In the loose connective tissue

Question 4

What does a scalp infection have the potential to result in?

Answer 4

Meningitis

Question 5

If there is a tumor in the parotid gland, what are the clinical symptoms or repercussions that can result?

Answer 5

Compression of the external carotid artery, retromandibular vein, and the facial nerve since they are around and within the parotid gland

Question 6

Describe why mumps is so painful in the cheeks and face?

Answer 6

Mumps causes an inflammation of the parotid gland The parotid gland is covered by investing fascia and when it swells due to mumps, it compresses the facial nerve, which results in pain

Question 7

If there were a lesion immediately following the internal acoustic meatus, what would occur? Explain the sx in detail

Answer 7

Bells Palsy would occur 1. no tears would be produced because the greater petrosal nerve is not able to carry the fibers to the lacrimal gland 2. Increased sound would result because the nerve the branches off the the stapedius would be impaired, which would not allow dampening of the sounds 3. There would be a loss of taste, and the submandibular and sublingual glands on the affected side would not work 4. The muscles of the face would not work

Question 8

If there was a lesion prior to the chordates tympani in the path of the facial nerve, what would result? Explain the sx in detail

Answer 8

1. Taste to the anterior 2/3 of the tongue would be messed up 2. Muscles of facial expression would be an issue

Question 9

Describe the herpes zoster virus and how it presents in patients, particularly in the face

Answer 9

If a patient who has already had the chicken pox develops shingles on the face, then the virus will typically travel a nerve tract because any sensory ganglion can harbor a latent virus

Question 10

When you are laying in bed and you can hear your heart beating in your ear, what are you hearing?

Answer 10

The superficial temporal artery being compressed against the pillow