First Partial Flashcards
Which nerve innervates the cricothyroid muscle?
Superior laryngeal nerve
Describe the image of Juvenile angiofibroma
Epistaxis, nasal obstruction on one side mainly, sensation o post nasal drip. ENDOSCOPY = Smooth, pink neoplasm that occupies 70% of the left nasal cavity with extension to the choanae. Holman Miller sign!
Complications of Rhinosinusitis
Cavernous sinus thrombosis, what else?
Pivote roles o the pharynx
Protection
Phonation
Respiration
Facts about nasal tumour
It exists a 5-15% risk of developing SCC within the inverted papilloma
Family or drug group for nafazoline
Alpha dareneric agonist
Allergic rhinitis has phases. In which one can we find cytokines and leukotrienes that cause an influx of inflammatory cells
Celular reaction or LATE PHASE
Lund Mackey, is a system in radiology to
Assess crónica Rhino sinusitis, obstructions…
Lund-Kennedy, is a system to
Quantify the presence of polyps
In case you have severe or complicated case of bacterial RS, the image you need is
Head MRI with gadolinium
Description on Intubation granuloma
GRANULOMAS, associated town endotracheal intubation. Odynophagia, cough, globus symptoms. There’s an association with gasteoesophagical reflux. Treat the reflux and give some voice therapy.
In cases of adenotonsillar hypertrohhy, you male the Dx with…
Lateral eco soft tissue rx
Dysphasia, “bovine” cough. Paramedian position. There’s phonation. Secondary to recurrente arygneal nerve paralysis and produces an immobile VC int he paramedian position (LADO AFECTADO CERRADO, NO SE MUEVE).
UNILATERAL RECURRENT LARNGYAL PARALYSIS
TRUE VOCAL CORD =
Loss of active movement of the “true” Vc or vocal fold (VF)
Weak voice, history of aspiration and chocking. VC in intermediate position, no change on phonation. Breathy voice and regurgitation. The best way to see is MRI scans, Secondary to neurological cause. Often accompanies by th involvement of glossopharyngeal and hypoglossal nerves
BILATERAL COMPLETE VAGAL NERVE PARALYSIS
DX of moderate to severe persistent allergic Rhinitis
INTERMITENT VS PERSISTENT = menos de 4 días por semana o menos de 4 semanas consecutivas VS más de 4 días por semana o 4 semanas consecutivas.
…
MILD VS MODERATE-SEVERE = normal sleep, normal daily activities, normar work, no troublesome VS all YES!
TTO para RA
MILD INTERMITENT= Antihistaminics and Steroids
MODERTADRE/SEVERE INTERMITENT = Antihistminics + Steroids + Leukotrines
MILD PERSISTENT = Steroids + antihistaminics
MODERATE/SEVERE PERSISTENT = antihistamínicos + steroids
Triad de Sumter
ASMA, SINUSIITS CON PÓLIPOS y sensibilidad a AINES (aspirina mainly)
Rhinosinusitis por aspirina, ¿imagen?
1ra línea = Caldwell waters
Gold standard = CT scan with contrast
In exploration of vocal cords, if there’s bilateral small lesions in both True cords, we are watching
Nodules
Le Fort Fractures
1 = separe palate from the midface; involve the pterygiid palettes.
2 = Open the skull base via the ethmoid bone
3 = very intense trauma
Most frequently affected artery in epistaxis
Sphenopalatine artery (specific of a Caso clínico, Tto es posterior packing)
Nombre del músculo abductor de las cuerdas vocales
Cricoparitenoid Posterior
Hallpike test
GIRO AL LADO QUE QUIERO EVALUAR (AL CANCAL SEMICIRCUNAL POSTEIOR QUE UQIEOR EVALUAR)..GIRO 45 GRADOS Y RECUESTO. SI H AY NISTAGMO Y VESRTIGO,ES POSITIVO PARA VERITGO PAROXSITICO BENIGNO
