Examination and Eval of the Airway Flashcards

1
Q

Why do you examine and evaluate a
patient’s airway preoperatively ?

A

obtain the highest level of resolution possible

Do no harm during subsequent airway management

Obtain information needed for bag-and-mask ventilation

Obtain information needed for LMA insertion and management.

Obtain information needed for endotracheal intubation via DL.

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2
Q

label the axis

A
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3
Q

What is this

A

anisocoria

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4
Q

medical term for “without teeth, toothless”

A

edentuous

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5
Q

The prevalence of physiologic anisocoria in humans is
approximately

A

20%

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6
Q

when examining head and neck which glands should be assessed?

A

lacrimal
parotid
salivary
thyroid

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7
Q

what abnormal finding is this?

A
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8
Q

what abnormal finding is this?

A

overbite

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9
Q

what’s this dude’s problem?

A

acromegaly

abnorm GH causes elargement tissues

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10
Q

Which gland may be enlarged in alcoholics or patients with mumps

A

parotid

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11
Q

what is the increased horizontal distance between the maxillary and mandibular central incisors

A

overjet

(think of HOJ- Horizontal OverJet)

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12
Q

what is the increased vertical distance between the maxillary and mandibular central incisors?

A

overbite

(think of VOB - Vertical OverBite)

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13
Q

identify the glands circled

A

parotid

submandibular

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14
Q

what’s causing this ?

A

enlarged parotids

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15
Q

what are the levels of lymph node drainage?

A
  1. Lymph Node Drainage
  2. Level I - Submental and submandibular nodes
  3. Level II - Upper jugular nodes
  4. Level III - Middle jugular nodes
  5. Level IV - Lower jugular nodes
  6. Level V - Posterior triangle group
  7. Level VI - Anterior triangle group
  8. Level VII - Upper mediastinal nodes
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16
Q

what is the anterior head of the SCM

A

clavicular head

17
Q

what is the posterior head of the SCM

A

mid-clavicle

18
Q

with normal dental occlusion, what is the relationship between the central maxillary incisors and the central madibular incisors

A

slight overlap with no overjet

19
Q

What are the borders of the posterior triangle?

A

trapezius m

clavicle

SCM

20
Q

What are the borders of the anterior triangle

A

mandible

SCM

midline of neck

21
Q

When assessing the eyes in the head and neck exam what will you examine/assess?

A
  1. lacrimal gland
  2. tear duct
  3. pupils
  4. appliances (glasses, contacts, prosthesis)
  5. do they use eye drops
22
Q

what is PERLA?

A

Pupils Equal & Reactive to Light & Accommodation

23
Q

what’s this?

A

conjunctivitis

24
Q

what’s this?

A

subconjunctival hemorrhage

25
what's this and what's at risk?
exophthalmus the corneas are risk of corneal abrasion
26
what is ptosis?
droopy eyelid
27
what 2 things, in regards to the eye, can be related to positioning and fluid management during the case?
Periorbital edema Conjunctival edema
28
what should be examined in regards to the ear?
1. external ear 2. mastoid 3. otitis media 4. hearing impairment 5. hearing aid (internal, external) – need in POHA, OR, PACU
29
what is major joint of c-spine that we are concerned with during examination?
atlanto-occipital joint
30
What's the angle degree measurement of the atlanto-occipital joint
approx 35 a.k.a. the upper-lower dentition angle
31
what's this ?
torus
32
what's this?
gingival hyperplasia
33
what's this?
gingivitis inflammation of the gums
34
name and number the freakin' teeth
35
what is normal mandibular length?
Normal ≥ 9 cm (mandibular angle – mental symphasis)
36
what is the grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone.
crepitus
37
what is normal mouth opening in cm?
Normal ≥ 4 cm Mouth Opening ~ 5 cm 1. (rotation ~ 2.5 cm) 2. (glide ~ 2.5 cm)
38
what is the medical term for Adam's apple?
prominentia laryngis
39
Thyromental distance = _____ cm
Normal ≥ 6.5 cm