Flashcards in Pestana- 10. Otolaryngology Deck (26)
What should you expect if you see a midline neck mass, at the level of the hyoid that seems connected to the tongue?
thyroglossal duct cyst
What all do you take out when removing the thyroglossal duct cyst?
middle segment of hyoid bone
track that leads to the base of the tongue
What do you need to check for before removing thyroglossal duct cyst?
location of the normal thyroid
Where do branchial cleft cysts occur?
along the anterior edge of the SCM
What do you think of with a large, mushy, ill-defined mass that occupies the entire supraclavicular area and seems to extend deeper into the chest?
What do you need to get before removing cystic hygroma?
What do you do for a patient with an enlarged lymph node for 2 weeks?
follow up in 3-4 weeks
What do you do if a patient has enlarged lymph nodes for weeks to months?
rule out neoplasia
What do you expect in a patient with multiple enlarged lymph nodes, low-grade fevers and night sweats?
What do you expect in an adult who has sensory hearing loss in one ear but not the other?
acoustic nerve neuroma
How do you diagnose acoustic nerve neuroma?
What is the best test to diagnose facial nerve tumor?
What are most parotid masses?
What is a hard mass of the parotid that is painfus and causing facial nerve paralysis?
How do you diagnose parotid masses?
FNA (NEVER DO OPEN BIOPSY)
How do you treat a parotid mass?
take out the whole parotid gland (or superficial part)
What do you think of in a toddler with a unilateral ENT problem?
What is the name of a mouth floor abscess usually 2/2 bad tooth infection?
What is the sudden paralysis of the facial nerve?
What is the first sign of cavernous sinus thrombosis?
diplopia (paralysis of extrinsic eye muscles)
What other symptoms will a patient with cavernous sinus thrombosis be presenting with ?
sinusitis (frontal or ethmoid)
What can control epistaxis in children?
phenylephrine spray and local pressure
What is the cause of epistaxis in an 18 year old?
1- cocaine abuse = septal perf
2- juvenile nasopharyngeal angiofibroma
What may help a patient with vertigo?
What does a patient with Meniere disease present with?