Head and Neck

You are presented with clinical photographs. Answers are provided in

the next slide.

Comment on Head

Large head

Uneven

Paget’s disease

Describe her hair

Localized area of loss of hair

Allopecia areata.

Patient with Lupus

Describe the auditory pathway

External auditory canal

Tympanic membrane

Ossicles

Cochlea

Auditory nerve

Identify the structures of ear drum

Pars flaccida

Pars tensa

Handle of malleus

Short process of malleus

Umbo

Incus

What do you see?

Nasal polyp

Identify the numbered structures

1. Inferior turbinate

2. Middle turbinate

3. Superior turbinate

Arrow Maxillary sinus drainage

4.

5.

6.

Describe the tongue.

Multiple Telengiectasia over tongue and lips.

Patient with hereditary hemorrhagic telngiectasia.

Describe his gums

Gums are hypertrophied.

Patient with Leukemia

Describe Tongue

Indentation along the sides suggesting large tongue.

Patient with Amyloidosis

Describe Tongue

Depapillated smooth tongue.

Patient with Iron deficiency anemia

Describe Tongue

Indentation along the sides of tongue, suggesting large tongue.

Patient with amyloidosis

Describe

Mucous membrne ulceration

Chemotherapy

Your observation. Diagnosis?

Bilateral parotid gland enlargement.

Ear lobes lifted.

Patient with Sjogren’syndrome.

Likely reason for neck swelling?

Lumpy, bumpy and bilateral.

Lymphadenopathy

Patient with Lymphoma

Describe