Flashcards in Head and Neck Deck (24):
What is the most common underlying pathology in head and neck cancers?
Squamous cell carcinoma
What are the 2 key risk factors for developing head and neck cancers?
Which head and neck cancers have an associated with Epstein-Barr virus?
What is the Centor criteria?
A tool for helping to decide whether to give antibiotics for tonsillitis based on likelihood of the episode being bacterial:
- Tonsillar exudates
- Tender cervical lymphadenopathy
- History of fever
- Absence of cough
If antibiotics are deemed to be required in tonsillitis, which is an appropriate to prescribe?
Penicillin V (phenoxymethylpenicillin)
What are the complications of a tonsillectomy?
Which is the most common bacterial cause of tonsillitis?
Group A beta-haemolytic strep i.e. Strep pyogenes
What is quinsy?
What is trismus?
Spasm of the muscles of the jaw, causing the mouth to be tightly closed. Seen in peritonsillar abscess.
How might a patient with quinsy present?
Muffled 'hot potato' voice
What is the treatment for quinsy?
Drain the abscess using needle aspiration
What are the 3 salivary glands to be aware of?
Where are 80% of salivary gland tumours located?
What is the most common type of thyroid cancer?
Psammoma bodies and 'orphan Annie' nuclei are typical of which pathology?
Papillary carcinoma of the thyroid
Which type of thyroid cancer is more likely to spread to the lymphatic system: Papillary carcinoma or follicular carcinoma?
Follicular carcinoma tends to travel in the bloodstream
Which serum blood marker may be elevated in medullary thyroid carcinoma?
List some features of a pharyngeal pouch
Aspiration - might have a cough
Neck swelling - gurgles on palpation
What is the most common type of salivary gland tumour?
Benign pleomorphic parotid adenoma
What is a parotid 'mixed' tumour?
Another name for benign geomorphic adenoma
List 4 types of benign parotid tumours
Benign pleomorphic adenoma
Warthin tumor (papillary cystadenoma lymphoma or adenolymphoma)
What is the treatment for benign pleomorphic adenoma?
What is the treatment for Bell's Palsy?
Prednisolone for 10 days, should be started within 72 hours of onset of symptoms