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face and related structures

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Question
Answer
What is Auricular Hematoma?   When Blood pools between the skin and the cartilage.  
What is another name Auricular Hematoma?   Cauliflower Ear  
What is the MOI of Auricular Hematoma?   single or repeated blunt trauma or shearing forces to external ear  
What happens over time to cause the deformity in Auricular Hematoma?   Over time the hematoma scars  
What are the fours things you will see or feel in evaluation of Auricular Hematoma?   External ear appear violently red, Swelling, Pain w/ palpation; hardened nodules, sometimes decreased hearing & balance  
What is Otitis Externa?   Infection of the external auditory meatus  
What is another name for Otitis Externa?   swimmers ear  
What happens in Otitis Externa?   Dark, damp environment encourages growth of bacteria or fungus  
What is the MOI of Otitis Externa?   inadequate drying of the ear canal  
What are the eight possibel signs and symptoms for Otitis Externa?   constant pain, Constant pressure; itching; hearing deficit; dizziness; redness; clear discharge from middle ear; enlarged lymph nodes  
What is Otitis Media?   Inflammation of the ear’s mucous membranes  
What happens to cause Otitis Media?   Eustachian tubes become blocked resulting in increased pressure within inner ear  
What are the six common signs and symptoms for Otitis Media?   Masks as a URI, ear feels blocked; pressure in inner ear; pain in inner ear; fluid build-up; hearing loss  
What more severe injury can happen due to Otitis Media?   Tympanic Membrane rupture  
What causes Tympanic Membrane rupture?   mechanical pressure or intrusion  
What are the six main signs and symptoms for Tympanic Membrane rupture?   inward & outward radiating pain; tinnitus; blood or fluids leaking from ear; redness; perforation; hearing loss  
What diagnostic test would allow an audible escape of air come from the inner ear when dealing with a tympanic membrane rupture?   Valsalva maneuver  
What is the MOI of a Nasal fracture?   direct blow to nose  
What are the eight s/s for nasal fracture?   pain on the bridge of the nose;radiating pain on frontal & zygomatic bones; visible deformity; bleeding; ecchymosis (raccoon eyes); deviated septum; crepitus; diminished sense of smell and breathing  
What is the most common type of facial fracture?   Nasal fracture  
What is saddle nose deformity?   Repeated trauma that causes necrosis of the nasal cartilage  
What should be used and what should be inspected for a possible deviated septum?   Internal nose with a penlight or otoscope  
What is the breathing technique whne trying to asses a deviated septum?   athlete should try to breath through one nostril while the other one is closed  
What is the 2nd most common facial fracture?   Mandibular Fracture  
What is the MOI for a mandibular fracture?   direct blow to the mandible on anterior or lateral aspect  
What are the s/s you might encounter with a mandibular fracture?   pain; swelling; gross deformity; malocclusion of the teeth; tenderness, crepitus  
What is raccoon eyes?   echiymosis under the eyes seen in nasal fractures zygoma fractures and and blunt trauma to the face  
What are three things that we will see when assessing a mandibular fracture?   Pain when opening & closing mouth; Mandible may track laterally; Structures of TMJ may be affected  
What is a special test we might be able to do when trying to assess a mandibular fracture?   Tongue blade test  
What is the moi of a zygoma fracture?   blows to the cheek & inferior periorbital area  
What the four common signs or symptoms that may be seen with a zygoma fracture?   subconjunctival and periorbital swelling; pain with palpation; poss. step of deformity; increased pain or inablitity to do when asked to perform eye movement  
What is something that can occur concurrently with a nasal fracture?   Maxillary Fracture  
What is the chief complaint by an athlete with a maxillary fracture?   pain in midportion of face  
What will not be evident when evaluating a maxillary fracture?   deformity (not usually present)  
Palpation can cause what during eval of maxillary fracture?   crepitus at fracture site  
What is a lefort fracture?   A classification system for midface fractures  
How do you get a lefort fracture?   Result of extremely high impact forces  
How many types of lefort fractures are there?   three  
What is a lefort I?   involves just the maxillary bone  
What is a Lefort II?   involves maxilla and curves up into the nasal bone. Makes a c from the maxilla throught the nasal bone back down to the maxilla  
what is a lefort III?   crosses the zygomatic bones and the orbital bones in a straight line across; does not involve the maxilla  


   


 

 

 

 

 

 
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