Anatomy Lect 3 Head & Neck


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Anatomy Lect 3 Head & Neck

  1. 1. Anatomy Lecture 3 Head and Neck Physician Assistant Program Miami Dade College
  2. 2. 'Excellence is an art won by training and habituation. We do not act rightly because we have virtue or excellence, but rather we have those because we have acted rightly. We are what we repeatedly do. Excellence, then, is not an act but a habit.' Aristotle   <ul><li>A journey of a thousand miles begins with a single step. </li></ul><ul><li>  </li></ul><ul><li>Lao Tsu </li></ul><ul><li>  </li></ul><ul><li>“ I find that the harder I work, the more luck I seem to have”. </li></ul><ul><li>  </li></ul><ul><li>Thomas Jefferson </li></ul><ul><li>Self conquest is the greatest of victories. </li></ul><ul><li>Plato </li></ul>
  3. 4. <ul><li>Lacerations </li></ul><ul><li>Scalp </li></ul><ul><ul><li>Skin </li></ul></ul><ul><ul><li>Connective Tissue </li></ul></ul><ul><ul><li>Aponeurosis (Galea) </li></ul></ul><ul><ul><li>Loose connective tissue </li></ul></ul><ul><ul><li>Pericranium </li></ul></ul><ul><li>Ca </li></ul>
  4. 15. <ul><li>Coup-Contrecoup </li></ul><ul><ul><li>ICH </li></ul></ul><ul><li>Skull fx’s </li></ul><ul><ul><li>Calvaria </li></ul></ul><ul><ul><li>Orbit </li></ul></ul><ul><ul><li>Zygoma </li></ul></ul><ul><ul><li>Maxillary (Le Fort) </li></ul></ul>
  5. 16. Le Fort Fractures
  6. 21. SYNONYMOUS <ul><li>CALVARIA </li></ul><ul><li>CALVA </li></ul><ul><li>SKULLCAP </li></ul>
  7. 23. Hydrocephalus “water in the brain” <ul><li>Spontaneous </li></ul><ul><li>intracerebral and </li></ul><ul><li>Intraventricular </li></ul><ul><li>hemorrhage with </li></ul><ul><li>hydrocephalus </li></ul>
  8. 29. Temporal Arteritis
  9. 32. Neck Triangles <ul><li>Anterior Triangle </li></ul><ul><ul><li>SCM </li></ul></ul><ul><ul><li>Mandible </li></ul></ul><ul><ul><li>Anterior midline </li></ul></ul><ul><li>Posterior Triangle </li></ul><ul><ul><li>Trapezius </li></ul></ul><ul><ul><li>SCM </li></ul></ul><ul><ul><li>Clavicle </li></ul></ul>A) Nerves and Plexuses: Spinal accessory nerve (Cranial Nerve XI) Branches of cervical plexus Roots and trunks of brachial plexus B) Vessels: Subclavian artery (Third part) Transverse cervical artery Suprascapular artery Terminal part of external jugular vein C) Lymph Nodes: Occipital Supraclavicular D) Muscles: Inferior belly of omohyoid muscle This space is subdivided into four smaller triangles by the Digastricus above, and the superior belly of the Omohyoideus below. These smaller triangles are named: the muscular triangle or inferior carotid triangle the carotid triangle or superior carotid triangle the submandibular triangle or submaxillary triangle the submental triangle or suprahyoid triangle
  10. 36. Torticollis or wry neck <ul><li>head is tilted toward one side, and the chin is elevated and turned toward the opposite side. </li></ul>
  11. 39. Cervical Lymph Nodes <ul><li>Preauricular </li></ul><ul><li>Postauricular </li></ul><ul><li>Occipital </li></ul><ul><li>Tonsillar </li></ul><ul><li>Submandibular </li></ul><ul><li>Submental </li></ul><ul><li>Superficial cervical </li></ul><ul><li>Posterior cervical </li></ul><ul><li>Deep cervical chain </li></ul><ul><li>supraclavicular </li></ul>
  12. 43. <ul><li>CVA’s vs. TIA’s </li></ul><ul><li>Central Line Placement </li></ul><ul><li>JVD </li></ul>
  13. 44. Zones of Neck
  14. 56. <ul><li>Rhinorrhea </li></ul><ul><li>Fx </li></ul><ul><li>Epistaxis </li></ul><ul><ul><li>Kisselbach’s Plexus </li></ul></ul><ul><li>Septal deviation </li></ul><ul><li>Septal hematoma </li></ul><ul><li>Obstruction </li></ul>
  15. 64. <ul><li>Ethmoid Sinuses (green) </li></ul><ul><li>Frontal Sinuses (checkered)                            </li></ul><ul><li>Maxillary Sinuses ( red)                                       </li></ul><ul><li>Sphenoid Sinuses (yellow) </li></ul>                                                                                                                 
  16. 66. THINK !!!! THINK BIG
  17. 67. Clinical Anatomy The EYE
  18. 79. <ul><li>EOM </li></ul><ul><li>Corneal Abrasion </li></ul><ul><li>Lids </li></ul><ul><ul><li>Entropion (in) vs. Ectropion (out) </li></ul></ul><ul><ul><li>Chalazion vs. Hordeolum (stye) </li></ul></ul><ul><ul><li>Blepharitis </li></ul></ul><ul><li>Strabismus </li></ul><ul><ul><li>Exotropia (out) vs. Esotropia (in) </li></ul></ul><ul><li>Exophthalmus vs. Enophthalmus </li></ul><ul><li>Ptosis </li></ul><ul><li>Icterus (jaundice) </li></ul><ul><li>Ruptured globe </li></ul><ul><li>Retinal detachment (shade) </li></ul><ul><li>Glaucoma (open vs closed) </li></ul><ul><li>Cataracts </li></ul><ul><li>Diplopia (double vision) </li></ul>
  19. 80. <ul><li>Pupil </li></ul><ul><ul><li>Size </li></ul></ul><ul><ul><li>Anisocoria </li></ul></ul><ul><li>Scotomas/ floaters/ flashing lights </li></ul><ul><li>Changes </li></ul><ul><ul><li>Hyperopia (farsightedness, ie. Can’t see close) </li></ul></ul><ul><ul><li>Presbyopia (aging) </li></ul></ul><ul><ul><li>Myopia (near sighted, ie. Can’t see far) </li></ul></ul><ul><li>Lacrimal </li></ul><ul><ul><li>Excessive tearing/dryness </li></ul></ul><ul><ul><li>Dacrocystitis </li></ul></ul><ul><li>Subconjunctival hemorrhage </li></ul><ul><li>Hyphema </li></ul><ul><li>Hemianopsia </li></ul><ul><li>Iritis/ conjunctivitis </li></ul><ul><li>Pterygium </li></ul><ul><li>Central retinal artery occlusion </li></ul>
  20. 81. Short sight means that the image is focused in front of the retina Long sight means that the image is focused behind the retina PERRLA (D+C) : P upils E qual and R egular; R eactive to L ight and A ccommodation ( D irect and C onsensual). Myopia Hyperopia Hyperopia , also known as hypermetropia or colloquially as farsightedness Myopia , also called near- or short-sightedness
  21. 91. <ul><li>Hearing loss </li></ul><ul><ul><li>Conductive vs. sensorineural </li></ul></ul><ul><li>Dizziness </li></ul><ul><li>Vertigo </li></ul><ul><li>Labyrinthitis </li></ul><ul><li>Otoliths </li></ul><ul><li>Barotrauma </li></ul><ul><li>Tinnitus </li></ul><ul><li>D/C </li></ul><ul><li>FB </li></ul><ul><li>AOM </li></ul><ul><li>AOE </li></ul><ul><li>Cerumen </li></ul><ul><li>Q-tips </li></ul><ul><li>Perforated TM </li></ul><ul><li>Bullous Myringitis </li></ul><ul><li>Mastoiditis </li></ul><ul><li>Pharyngotympanic tube obstruction/replacement </li></ul>
  22. 95. <ul><li>Stenson’s duct </li></ul><ul><li>Vs. </li></ul><ul><li>Wharton’s duct </li></ul>
  23. 109. <ul><li>Aphthous ulcers </li></ul><ul><li>Stenson’s/ Wharton’s duct </li></ul><ul><ul><li>Sialolith </li></ul></ul><ul><li>Ca </li></ul><ul><li>Herpes </li></ul><ul><li>Chelitis </li></ul><ul><li>Angioedema </li></ul><ul><li>Odontogenic infection </li></ul><ul><li>Ludwigs angina </li></ul><ul><li>Thyroglossal duct cyst </li></ul><ul><li>Brachial cleft cyst </li></ul><ul><li>PTA </li></ul>
  24. 121. <ul><li>Pharyngitis </li></ul><ul><li>Hoarseness </li></ul><ul><li>Goiter </li></ul><ul><li>Hyperthyroid </li></ul><ul><li>Hypothyroid </li></ul><ul><li>Parathyroid (Hypocalcemia) </li></ul><ul><li>Intubation </li></ul><ul><ul><li>Trach/ Cric </li></ul></ul><ul><li>Lymphadenitis </li></ul><ul><li>FB </li></ul>