Head and Neck

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Head and Neck

• You are presented with clinical photographs.
  Answers are provided in the next slide.

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Comment on Head
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• Large head
• Uneven
• Pagets disease

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Describe her hair
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• Localized area of loss of hair
• Allopecia areata.
• Patient with Lupus

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Describe the auditory pathway
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• External auditory canal
• Tympanic membrane
• Ossicles
• Cochlea
• Auditory nerve

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Identify the structures of ear drum
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• Pars flaccida
• Pars tensa
• Handle of malleus
• Short process of malleus
• Umbo
• Incus

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What do you see?
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• Nasal polyp

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Identify the numbered structures
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• 1. Inferior turbinate
• 2. Middle turbinate
• 3. Superior turbinate
• Arrow Maxillary sinus drainage
• 4.
• 5.
• 6.

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Describe the tongue.
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• Multiple Telengiectasia over tongue and lips.
• Patient with hereditary hemorrhagic telngiectasia.

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Describe his gums
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• Gums are hypertrophied.
• Patient with Leukemia

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Describe Tongue
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• Indentation along the sides suggesting large
  tongue.
• Patient with Amyloidosis

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Describe Tongue
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• Depapillated smooth tongue.
• Patient with Iron deficiency anemia

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Describe Tongue
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• Indentation along the sides of tongue, suggesting
  large tongue.
• Patient with amyloidosis

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Describe
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• Mucous membrne ulceration
• Chemotherapy

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Your observation. Diagnosis?
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• Bilateral parotid gland enlargement.
• Ear lobes lifted.
• Patient with Sjogrensyndrome.

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Likely reason for neck swelling?
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• Lumpy, bumpy and bilateral.
• Lymphadenopathy
• Patient with Lymphoma

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Describe
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