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Head and Neck

Head and Neck. You will be presented with clinical photographs. Answers will then be provided in the next slide. Observe patient’s head. Large head Uneven Paget’s disease. Describe female patient’s hair. Localized area of loss of hair Allopecia areata Patient with Lupus.

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Head and Neck

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  1. Head and Neck You will be presented with clinical photographs. Answers will then be provided in the next slide.

  2. Observe patient’s head.

  3. Large head • Uneven • Paget’s disease

  4. Describe female patient’s hair.

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

  6. Describe the auditory pathway.

  7. External auditory canal • Tympanic membrane • Ossicles • Cochlea • Auditory nerve

  8. Identify structures of the ear drum.

  9. Pars flaccida • Pars tensa • Handle of malleus • Short process of malleus • Umbo • Incus

  10. What do you see?

  11. Nasal polyp

  12. Identify the numbered structures.

  13. Inferior turbinate • Middle turbinate • Superior turbinate • Arrow maxillary sinus drainage

  14. Describe the tongue.

  15. Multiple telengiectasia over tongue and lips • Patient with hereditary hemorrhagic telengiectasia

  16. Describe the patient’s gums.

  17. Gums are hypertrophied • Patient with leukemia

  18. Describe the patient’s tongue.

  19. Indentation along the sides suggesting large tongue • Patient with amyloidosis

  20. Describe the patient’s tongue.

  21. Depapillated smooth tongue • Patient with iron deficiency anemia

  22. Describe the patient’s tongue.

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

  24. Describe the patient’s mouth.

  25. Mucous membrane ulceration • Chemotherapy

  26. Your observation. Diagnosis?

  27. Bilateral parotid gland enlargement • Ear lobes lifted • Patient with Sjogren’syndrome

  28. Likely reason for neck swelling?

  29. Lumpy, bumpy and bilateral • Lymphadenopathy • Patient with lymphoma

  30. Describe

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