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Terms in this set (122)
-space btwn 2 vocal cords
adduction vs abduction of vocal cord
muscle that opens vocal cord
most common reason for vocal cord paralysis?
-physician (iatrogenic from surgery)
best choice for vocal cord/singer nodule tx (2)
acute epiglottidis (3)
-respiratory distress --> need tracheotomy
acute epiglottidis in adults (3)
-chemical or physical injury
bell's palsy most important
herpes zoster oicus AKA?
angioedema caused by?
Sudden sensineuronal hearing loss: caused by?
Epitaxis bleeding site?
Saddle nose deformity caused by?
-I: pull teeth --> only teeth toward you
-II: pull teeth --> teeth and nose toward you
-III: can move entire top of head
Peritonsillar abscess AKA? tx?
-lance and drain
Ludwig's angina? tx?
-secure airway early
Middle ear contents (4)
Temporal bone contents (8)
Most important part of middle ear transformation mechanism (2)
-TM:oval window (gain of 17:1)
Most common hearing loss in children?
Noise-induced Sense hearing loss: max hearing loss at?
Electrophysiologic Hearing Assessment (2)
-Auditory brainstem response (ABR)
Auditory brainstem response (ABR) (2)
-Potential from CN VIII
-Test for infants, sleeping, unconscious
Hearing aids can start at what age?
-6 months old
bone-hearing aid for? (2)
-conductive hearing loss
-1-sided hearing loss
Frostbite tx of ear?
Acute otitis media: bugs (3)
Sudden hearing loss most likely?
Cause of death
-event that begins toward death
5 manners of death
If manner of death anything other than natural then death certificate must be issued by?
Cause of death reflects?
-opinion on what caused death
-cooling of body
Livor mortis (2)
-settling of blood under gravity
-drying of cornea where eyelids meet
Decomposition: putrefaction vs autolysis
-Putrefaction: bacterial or maggots
-Autolysis: endogenous enzymes
-animals decompose corpse
what happens to skin after die?
incision vs stab wounds
-I: length > penetration
-S: penetration > length
wounds shapes can be determined by what in body?
Defense wounds in?
Hesitation wounds in?
matching to kill weapon only when?
-fragment remains in body
E & Force equations
-E = .5M*V^2
Yellow in contusions can only be used for?
-say older than 24 hrs
-bruises from being old
Battle's Sign (3)
-bruise behind ears
-fx auditory canal & lower skull
Raccoon Eyes (2)
-BL Periorbital bruises
-break lower leg
-stretch marks on lower ab
asphyxiation: general findings (4)
-Petechiae on face/eyes
-Right cardiac dilatation
Strangle/hang kill by? (2)
-less blood to brain
-not cut off air
2 types of strangle
Manual strangle breaks what?
-hyoid greater horn
hanging can take place how?
hanging: petechiae where?
Autoerotic asphyxiation: clue?
-cloth around neck
smother vs choke?
-s: close external airway
-C: close internal airway
-use up all oxygen in closed area
Baby in bag: what to do?
-put lungs in fluid
-if float then alive before put in bag
smother manual lips
Chemical Asphyxia (2)
-bright red cherry color
Flame vs contact vs radiant burns
-C: btwn skin & hot object
-R: electromagnetic heat waves
thermal induced skin splitting
-heat splits skin
how know if alive at time of fire
-soot in airway
-asphyxia in fluid
Drowning: sequence (5)
-Involuntary inhalation when CO2 55mmHg
-LoC (in 3 mins)
Drowning findings (3)
-pink foam from mouth/nose
-scrapes from floating at bottom
-char where touch
-char at feet
1/2 of hypothermia involve?
entrance vs exit bullet wounds?
-ex: can be put back together
Contact gun wounds (2)
-skin/bone filled with soot
-no gunsmoke on skin
Close range gun wound (2)
-rim of soot
Medium range gun wound (2)
Long range gun wound
Rim of abrasion gun wound
-can tell angle that bullet entered
lacerations from bullet point where?
-point in direction bullet was traveling
-spread out as further distance
Dysplasia detected only how?
Basal cell carcinoma most common where?
Eval of neck mass? (2)
-fine needle aspirate
-tonsil + tongue base
Cause of tumors over time? (2)
Which tumor cause more likely to survive?
-HPV more likely survive than drink/smoke
Malignant neoplasms from what mouth glands
Minor SGs > SLG > SMG > PG
Bicellular theory (2)
most common malignant tumor of salivary gland?
Pleomorphic Adenoma: characteristics
Warthin's Tumor: from? where? color?
-straw color fluid
Warthin's Tumor: epithelium
-double cell layer
Adenoid Cystic carcinoma: characteristic (2)
-swiss cheese pattern
Surgery tx of parotid malignancies
-Superficial parotidectomy w/ nerve preservation
What % strokes are ischemic?
what % strokes develop hemorrhagic?
Main imaging method in stroke?
Most common cause for hemorrhagic stroke?
Typical locations for hemorrhagic stroke? (4)
What % stroke pts do not regain function?
Imaging role in stroke? (2)
-ischemic vs hemorrhagic
Hyperdense MCA sign? indicates?
-white small rectangle in MCA area
-earliest CT sign of stroke
Lentiform nucleus sign in hyperacute phase?
-loss as early as 1 hr & 75% in 3 hrs
hyperacute phase when? signs (3)
-loss of grey/white
-lentiform nucleus sign
-insular ribbon sign
Sub-acute phase when? signs (2)? risk?
-Vasogenic edema --> mass effect
-Risk of brain herniation
Chronic stroke signs (3)
-Death of astrocytes
-Encephalomalacia: End result
1/3 rule in stroke
-if <33% brain involved then tPA has good outcome
-if >33% brain involved then tPA has bad outcome
-at risk area
Ischemic core signs (3)
-reduced CBF & CBV
penumbra signs (3)
-Increased transit time
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