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72 Cards in this Set
- Front
- Back
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How can you identify the parotid duct?
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atropine or pepper to induce salivation
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Secretion of the parotid gland
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serous
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What is the treatment of choice for KCS?
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cyclosporin A
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Mucocele most common true or false? In cats or dogs more often?
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t
dogs |
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What salivary gland diseases can be treated with seizure meds (barbituates)
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canine necrotizing sialometaplasia
canine sialoadenosis |
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Neoplasia of salivary glands are?
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carcinoma
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A cervical mucocele can make your dog look like a what?
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pelican
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If a mucocele is abscessed what will you see.
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enlargement and swelling in an area
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How can you tell a mucocle from an abscess?
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Needle aspirate (large bore)
PE: warm with an abscess, inflammation, thickened skin |
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honey cysts are not true cysts why? cervical mucoceles
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because it does not have a secretatory epitheilium
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What diagnostic means can you use to differentiate between rupture and traumatized ducts, neoplasia, sinus tracts?
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contrast radiography (sialography)
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What can plain radiography
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Sialolith
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U/S to ID what?
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what type of fluid
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What is the most common disease of the salivary glands?
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salivary mucocele
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What does this statement describe?
Subcutaneous (submucosal) accumulation of saliva with a non-epithelial, non secretory lining |
salivary mucocele
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Salivary mucoceles can accumulate saliva in what 3 areas?
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- cervical
- Ranula - Pharyngeal |
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What do you need to differentiate a salivary mucocele in the pharynx with ?
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noeoplasia from the tonsilar crypts
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You have a patient, looks like a pelican, needle aspirate shows honey cyst, how do you tell which side it is on?
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place in dorsal recumbancy , will fall to one side
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If you have inflammation of the zygomatic gland, from fb chewed and rupturing - you will get an an abscess and what with the eye
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exopthalamus
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Why recurrence of salivary gland mucocele?
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- removed wrong side
- did not remove enough |
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How do patient present with a pharyngeal mucocele
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respiratory distress
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What is the best way to manage a pharyngeal mucocele
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# 11 blade incision
- let it drain |
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What breeds commonly have salivary mucocele?
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- GSD
- Mini Poodle - Pekingese - Dauchshund |
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Where does the mandibular and sublingual gland open into
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sublingual caruncle
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where is the parotid papilla
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aboral to upper P4
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Where is the zygomatic gland mucocele
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below the eye
- periorbital accumulation of saliva |
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Lymph nodes are commonly misinterpreted as the salivary gland, where are they located
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salivary glands are rostral to ln and medial to the horizontal portion of the mandible
- pea side will slide against the ramus of the mandible |
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What do we do for the salivary gland mucocele
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lateral recumbancy and remove both the salivary and mandibular glands
- incise over salivary gland |
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What can be found aboral to the parotid papilla and behind the last moral
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major and minor zygomatic ducts
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all minor salivary glands open where
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into the oral cavity
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Sublingual salivary mucocel where are the accumulations?
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HINT: CPR QUICKLY, USE SOME TONGUE
- Cervical, pharyngeal, ranula |
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Sialoadenectomy sx for what?
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salivary mucoceles
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How is a sialoadenectomy sx performed?
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lateral approach, find the line between the lingual facial and maxiallary vein and incise between the angle made by these veins, blunt dissection of the capsule, and can peel off the gland.
To find the duct, go under the masseteur and the digastric mm and dissect the duct until you see the WHITE LINE which is the lingual nerve! that is the end of your path, you can ligate it, penrose drain and suture sub q and the skin |
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What do you want to not cut when doing a sialoadenectomy?
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cranial dorsal - rostral artery in the salivary gland
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What can you do surgically for a ranula
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marsupitalize the edges to the buccal mucosa
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On rads what will you see if you have a sialolith
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string of pearls
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what is the most common gland affected by a sialolith
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parotid
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where is it common to have a sialoadenitiis
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zygomatic salivary gland and may lead to retrobulbar absess
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if you ligate the parotid duct how long til the gland atrophies
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5 days
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Sublingual salivary mucocel where are the accumulations?
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HINT: CPR QUICKLY, USE SOME TONGUE
- Cervical, pharyngeal, ranula |
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What is the surgical treatment for a salivary mucocele?
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sialoadenectomy
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Sialoadenectomy sx for what?
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salivary mucoceles
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How is a sialoadenectomy sx performed?
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lateral approach, find the line between the lingual facial and maxiallary vein and incise between the angle made by these veins, blunt dissection of the capsule, and can peel off the gland.
To find the duct, go under the masseteur and the digastric mm and dissect the duct until you see the WHITE LINE which is the lingual nerve! that is the end of your path, you can ligate it, penrose drain and suture sub q and the skin |
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What do you want to not cut when doing a sialoadenectomy?
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cranial dorsal - rostral artery in the salivary gland
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What can you do surgically for a ranula
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marsupitalize the edges to the buccal mucosa
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On rads what will you see if you have a sialolith
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string of pearls
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what is the most common gland affected by a sialolith
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parotid
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where is it common to have a sialoadenitiis
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zygomatic salivary gland and may lead to retrobulbar absess
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if you ligate the parotid duct how long til the gland atrophies
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5 days
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what is the most common neoplasia of the salivary glands. breed?
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adenocarcinoma
siamese |
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What is laryngeal paralysis?
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failure of the laryngeal cartilages to abduct on insipiration
- degeration of recurrent laryngeal nerve and paralysis of cricoarythenoideus dorsalis muscle |
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What breeds commonly get laryngeal paralysis
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labs with hypothyroidism
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what is the only paired structure of the larynx
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artenoid
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A patient presents with inspiratory dyspnea, change in voice, cyanosis and stridor? what are you thinking
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laryngeal paralysis
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why dopram
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increases ventilatory effort in respiratory distress
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Diagnosis of Laryngeal paralysis
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- sedation not anesthesized
- laryngoscope and observe |
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What is a quick tract
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trochar used for bipassing the larynx to allow for a patient to breath if in respiratory distress
- temp substitute for a tracheotomy |
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What is a webbing scar
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overtime scarring that results from partial arytenoidectomy and reduces the size of the opening
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what is the complication associated with partial arytenoidectomy
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aspiration pneumonia
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What instrument is used for a partial arytenoidectomy
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mare biopsy instrument to remove the vocal folds, and ligamen
- per os |
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Is a tie back bilateral?
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no just on one side
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What anatomical structure do you need to be careful of when doing a laryngoplasty? where is it located relative to your incision
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jugular vein
- your incision will be ventral |
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What is a complication of tie back?
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aspiration pneumonia
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When you are doing a resection of soft palate what should be sutured together
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buccal mucosal to the pharyngeal mucosa
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what is most important in resection of soft palate
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respiratory monitoring
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Folded flap palatoplasty how does it work?
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- take a peice of the buccal soft palate, not full thickness and remove it
- fold it on itself, and better contour - can tailor make the length |
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With a resection of the soft palate what must you do to ensure that the patient does not aspirate betadine or fluid
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inflate to cuff of pack the pharynx with gauze
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In acute cases of otitis externa what should you do?
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treat medically for 3 weeks, if there are mites or fungal infections continue for 3-4 weeks
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What are the important landmarks of the ear canal?
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- anthelix
- tragohelicine incisure - tragus - intertragic incisure |
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Where are the anthelix and intertragic incisure located?
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- anthelix = dorsomedial
- intertragic incisure = caudolateral, behind the tragus (Hint: Cant be late if you have to sit inbetween the tragus) |
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Where is the tragus located
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ventral (below the tragohelicine incisure)
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Where is the tragohelicine incisure located
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craniomedial
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