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    Best ENT notes for proff

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    23 views49 pages

    ENT Notes

    Uploaded by

    Emaan Noor
    Best ENT notes for proff

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    5 ~ ENT 5 Jf | ORal Cavity) > Yoseen-Malik CMB 16) « f Sew rtrIs] bie PSO Benign p_lumers of sion pies : ~ @ eC) Mesenchymal © _@ Pleomerphic Adenoma ee ee oz @ Adenslymphoma Cabrtin tuna) & Lymph emgiomes a Snesevisine sieiel | @ Lipoma __ —~@_ other Adenoma @ Neuredibyerna r }" 2) Inpertontulvesheehen tS @ __xX—yay @ Bropsy Si Gems caine @_PET=Scan Cfesthin Eris Tomo giaph -Maalignadt Tumors ft isalvery _aleand-: E pihelial Eo Macecp Careirioma igiia. WWleghs, — 4 __ @ Adensid Sy Hire in omen sub eea a h, oA = @ Acinic (ell Cacnoma - @ Adenecaremema SH AO alata © Sy amos Call Carcinoma @ Malignant mixed Tumors. el lls a la fala] - a] p T aa @©_ Mesenchymal + D Ly imphoma @__Sovrcoma 43 33 9 la | lag s[m[t[w]t[F[s Timers el the Oyal Cavity 1@ Benign Tumors of oral cavity : um, O Pep illema © Pregenic granloma yD _@ fibroma (Fibroepthelial Polup) @ Pregnancy Pranulema @_ Heremean gioma @ as nullay Call My blaster x @ Lymphan promo Gea ee alin Neoplasm i @ Terus @Solttery Fibrous Timors_ @®_Cyshe Leseons : D_ Mucocele — Cod Commonly ewer re) @ Rearnuila_— CFloc of the onouth ) +-© Pre Malignant Lesions + © Lesteplakia @ Evythreplakia and Mucesal Hyperpigmentearh © Ma! grant Lesions GF mean gl Orel eaahy . @ Ca. A Lip @ Cad Alveday Ridge =" ie eme en on sie f Moats @ Ca, coral tongue Qa. ol, Retromdar Thigne. 3 $ @ Ca. Hard Palate = Squamous Malignant Lesong Miner Salary gland Timoy @ Melanoma a3. @_ Lymphoma a ) Kepesi Sarcoma a2 pa i 4 osrithelial Sialacenitis 1s con utoimmuna, hs ovder Senin. ExOc ¥ ine fleands of the body. i A Sym et Patrnes econdawy ; F_@ Prima: avy Sjogren's Syndyome + 4 =r Also alles! Benign Lj mphoceihelial lesion 4 Pavolid a Mitulits clus T= Conais oll eae) Xevophthel mic enc is Ln aes \nvaluing A Salway and Leenmal gland 7 _@ Seconday Syogyen's 5 ndyome } = dow eo Occurs in Female. at Consists | AD Keroto congunchvihs Siecs Coe te, Lopringl Glands) D Xevbstomicr C lnvelment el Salwary gland) @ Autoimmune Cetissun dircedev (Rhoumadeid arthrbs, sie) @ Histery 5 eet Exam hen = _ @ Shirmev's test Ctr Prnve decrensed Tear Lormetio) @ Breps: A, Lowen Lip @ _Ss-A and SS-R Antibodies sini |witlF[s @_Evey's Syndvome ustedory Ly Compliccthon off Poyehd Surgery. | eee ter eet welling anc Yushing of the ll Precuwiculay skin durin % “ane Causing ! Nuisance to the Person oy Social Embarcrsmert — =v Aetiology. - a» Ht the vesult of Stherrant Innervation _f a. Sweat gland b pees wmpathehe exetoinatey oe! Gibers which were istineed Enea a- Gow Instead J Cawing Soluny secachon drm thes Parchal, a te is, cece HO sala se eatels) a =r Ticatmert 1 = D Tynpenic Newectomy Clntoreephs these Gibres atthe level =f middle cay ) @Q Subcutoneous {nGiltyethon of. botulinum toxin — lecmorphic Adenoma: = Most Common benign Tums 4 Salvary glenda. > Tt an Arise rom the Povatic » Submencibular & othe tnine oliva» gland lous AYousng tumeuy ancl may be aiete large at labial Presentcchon . ually Seen in the hind or Pout leeade Mostly Cammen n Female _» Thy owe Called ~Mixec! fumeuy. ble bet epithelial eanck Mesenchymal element cue Seen bpwebbuvoauetpe ead iw wepe Treatments TRING Sugical Exc T|w]7]F Ts] e | Date: B Acute Tanai, type a > Fede ee (ie uperlrial tan sillstis ~@ Acute Ealtie, ex Temsilitis see ay ae ear eel hs, Membyemeous Témsillitis = @) _Complicahon Acute Ténsillitis ; eel eee Se mee ee dat, We el. abscess __@ Paraphawngoal abscess t O) Geniell alee 7 @ Acute oth: Media @ Rheumatic _Fevev. @ Acute Glomerulonephritis . = M__@ Sabrate bocteral: Endocrine, n ” ne @_Dilvential siagness A Membrane cur that 5 Yen @Mincent Angin: + CTivoat Swab @_Diptheri, =» CSinear 4 Cathe Fiat Sisab) ia leasis —» (Powl— Bunnell tect ) (Mana-SpctTa)- © A granules si =r! CTitel 8 diterercho) Comb — c80)_- ule ies oe : TDWeumetic Ulceys @ Carcidtal Inlection of tons! @ @ Malignancy Tonsils —, (Bone Manow Aprahim 5 Bupsy) aaa _@). ~ “Saeed Date Sep Iwilr[s - :@) Chronic Tensilldis — jsut _ Chremic Fetlieulay Tomaillta Chremic Pavanchymef cur Tenailtrtia Chrome Fibyicid Temsillrtes ~. Comp, cottons. Chron Tensillitts : D_Pevitensiilay Abscess” p—_@ Povepharyngeal alascoss - @ Intratansilla Sthsce as P___@ Ten sillolith « @ Tens Cyt x iE —@ Fecus 4 inlechon in Rheumeshe tevey, Acute Slemesulonephrtis, rt =) Ard SKin iscycters. @©_Qluinsy (Peritonsillay abscess) — Shait Nate + = pest ys cesfeehen A Pus tr the Pertensllew Pace which Lies bho the Capsule A tensils and Supevioy D Senshi chy _anuscles— =r Actolagy: D Usually Jollowecl by Acute Temas lox 1 nave Ww Prewidun Hasty a Sore Tyeat 7_=¢ Organism Involved 1 C Through Cuthwe 4 Pus, © Streptococcus ‘ergene @ : @ Steph —Aurens @ @ Anreaerebie organisms 9 Clinical Feahives = Local ; ; D_Severe Pern in Threat —Uswally (Unilatoved @_ odynop @_ Muted and Thal Speech _“ hot Potato Voice» a © Feul breath. i ey | sil ectewcn) ea eee ea 1 Date: i Ong : a © Re: vent Inlectrons ch the ‘throat. Fe ae) Ooo rae ee TS eee uh pte ole ene See Pesthropls of tonsifls Gausing 5@ Avway obsbucton @ Ditheulty in deglutthon as Suspicion J ab nancy (Lymphoma o Epidemic Carcinoma ) er ao i Relative Inaiications : D Diptheria Cowieys (do net gespend to Arhbistiea @ Streptococcal Corieys. @_Chrenjie “towsiltihi, FT Re cunent Strephececcal tonsi(litis {3 7. ®© _Cortraind cohon— Tonsi lectorny + FL_@_Hemeglebin Level lea then Lo 9 7 re Persistence 4d Noute \nllechon in in_Upfer Respivahyy track. Pau ae A age ry ® Burns Pertod oh RAE toalacs mt or NU ea caboche, "1 lon nd Clienses ing Visor a IB) Date: illectomy_: xs @ Immediate : D Primary Haemowhoge Cal tine of Surgery) @ Reachonary Haemorhage (occurs within Permds 24hrs ) oes {nqury te _tonsillar Pillows Uva _, Soft Palote. } —@ _Inquvy te teeth. @_Aspwethan A Blood @_ Facial oeclema @_ Surgical Emphysem L ela: ‘ DQ Seconcary Waermorrhage CUsually Seam alten loth istn ss) iG Inbech ons ‘ a. mane @ Lung Complcchons CAspnechon f Blood, mucus) ® Scavring in the Salt Palate and Pillars = @_ Teasiller Remnants @ Hypertrophy A Lingual fonsillr, sy |e |y 2) 4) > je 2) fs @ 2 Ww by ly | @) Monagement 4 Dai te OPperahve Reactiona Haemoxrbose.: | — Reachenay H occurs within 24 hs afer wgery cans fan be era by Simple. Measmwe Such os @ Remeval 4A the Clot. @ Applicedhon of Pressure oF VasoConstrichows @ Ligchon o Electr coagulechon tha bleeding Vessels an be lene ay fereval iva pon Ethan ee ae 7 re Ethmeistal artery [Branch dp ophalme aster yO Extemal. Carctid system : 3D SphenoPaleh te 3 ; a Weg ss Yo wey apical _branch 4, hack) Palatine carteay von SQ. septal branch AU Superior Labial cotery [By ddacil a 7 12 2 Septal Hlematama " Tt is Collectren cf blood Under the. pee ee | 2 penecean Pt inv Sal = Actiolo ogy: lasal Pour a al Cathet Elcdades Cseptal Surgen m= Clinical Features : Ihe a are oe atshucton 4 Ye! ach Vr Complication + Ci natincteajidel Je puso) evo, fb | st DO Mey organized ae Da aaah mC tO Peymemently Thickenesd -Septuin , @ Secondary nection 7 QD Septal abscess ry Treatment yeatment + ) D_Aspirethen 4 Fluicd pate cera cM emi penis lo) [sult t TF Ts] 1S ab S655 §: 3 =e Sa =+-Resulh thom Secondary hechen oh Septal Hemet « + Asessonally tt follows Guinuncle of the Hose oy u BS a sctan els ey ey r Ine chon Such 24 Ths ov _Measl ica] jUyYe D Severe bilatred nasal obshuchon @ Pein _.x Tenclemew vey bricige A Nos BS) Fever with chills Prowtal aa > Treatment + D Abscess Sranage Q_ Systemic Antibrstic =» Complication : D Necrosis 4 Septal Coleg @Necvess <4 Septal Flaps @® Meringth @ Cavernous -Grus Tiyembesis. DO. 7 sag 3 =| a = 7 2 nd |@) Local Causes of Epistaxis : @ Nese i: OTyauna é @ Infechons @ Foreign bed. : : @Neeplarm 4 Nore x Paranosol Sinus a. spheric. Thanges bossyl @ Devieted Nesal Septum Cpns)_ @ NasePharynx + sen, eh @ Jwenile Angicbrema Q_ Malignant Lumoy, ao 2 nadie rs[m[t[w] Tt] FIs] vation Aneel segdin iia @Fewratic Poloahon Rear ® Pathological Petevedion =—_____@ Septal abscess @ Rhinclith @s Nasal Myiasis* @ Chronic gromulomatms Condchou | |) Dyas ence eri laes © Polonged used steroid spre; _@ Cocaine Sues @ Working bs Certain Ocupahon i=e Chromium plating te | » TWicpathic 4 “iesstnests_—____ et ects in Nasal at = _Rhinoli L Usually Aevms around! the nul 7 nal genau. Gowergn bos! Blood ae ses __| | ns] Secretion by Slow clepesttion 4 Gai Zot cage Salt, | - Clinical Featuy @_ Mare Comrnen in Asal @ Uniloteval nasal a cul. o i ra 7 7 = mS @ Frank epistaxis 6 oes aia | pe — Ole eee Nii ptetie dea Domtioled Oe rae Seca trie taal eee ale ie Unelew 1a. i _ a —__— * @. stemic Antibiches. S| rT = Ww) slut [wit Ygical_onti @ SMR __@) Ligation Vessels @ External Canetid Cabove the | @ Maxillary artery e ot @ Ethmoical artemes s_ @ Tensnasol Endoscopic SphenoPaledine Artery lig echion CTESPAL) be @ Embelization Cby an Interveational Carchologit ) a _ Fa Chrome Nasal obstuction x mouth breettiix Lead Weta Gchoredterntie Geral appoarana, Eatad ASemeloci, rr is Seen ih Adenoid Hyperplasia , Consist. of @ Crouwclecd teeth @ High arches Palate © _Unclerctevelopec! Pinchec! Nostrils Cueto cause atephy db alacnasi) @ Elongated Face wit dull Expression. : 2 Inveshadthona: © Exaninhen <4 Post Nas spate @ Lateral Neck X= ay ed yo ey a) _— Treatment, | OD Miles Symptons nels Excercise @ Decongestuit @ AatHistamne =O) Seven Spmptoing —r Aden poistedom up feeb ol "@ Adensids vs ‘Tonsila : : | |__@ Aclenaics ® Tensile » pee wy & (ip Lecale nt asePhoyes [0-8 Grapes —__ @® Presents ot But @_develop later | eae Gaps) ote @_Capsilated a | @ Blood suppl Voviable @ th own Bload Supply - 4 1 @ Howe No Crypts @_ Have Crypts oa Y jee Py _(s]M/roIWelieneT Sy) y —_DNs_ non Ana ‘clislecatina ‘i ene Deformity = Sh eformity Rots Seg. — i ww! r’ idl jai | Pi val Date. MS Geist Bs i plas @ Septoplasty AD_Extensive Sissechon 4 Sephim | Lineal ried Wese—tyeeoh te a A@ Aze , Adicr 1% yeay | Age. Any age re@Mineren lian: ination |G) neiiaag Eveey lncnon ry Clevatest ( Muceperichondnel | ans) Perresteal flaps) ACN e ea ppetaves UOny Sis y, fated Sie of = |__Flap js elevated. I w © Destuchve Procedure +a Conservotve Precedine Anbexio’ diloeaion w- foe i ny s[M[t[w[t[F[s Date: ! @_Nasal_Polypi + Li» Nasal Polypi ay. non-neoplastic cmasses A Jj Se iemetetel noel Sere ee 4 = Tire Main types. 9 Arhachoanal Delyes = @ Bilatevel Ethmoicel Pelyps a L = = -@ Differences blow Arbachoanal Ethmoidall Polypi = yeni nhrachoan i| 2) Emote! Pol: ye ® : P@ezamale chides 2 , 3 lo A ae’ InJectron Allergy or nulla = ‘© Number: @ Solitay o_Maltiple = @_Ongin _@ Waxillary Sinus __@ Ethmoidal Sirus ga = Middle furbinede, muddle Meaty a Prousthe: es by — rw anteriovly.. a heana. -@ Recunence : @ Uncommon Cormeen ~@ Teatment + Enclescapic Sinus \@_ Endesce pre —Sinus UW Sungen m4 Surgery = Date: pute a chee se ig “eae Headaches | me + @_Buis_¢ Causin estuchen to _Ventilehon f Paranasal ‘ Inuses and \niddle eax. eee el Spuy. koe) 3 @ As a part ob ee : ead CCosrn tic Cayrechon 7 A®) Containdicotions: ul Pettient below 13 Year hb age. 7G Acie Episeder_o} ResPirstiye econ ee 1) Bleects 3 —Stiatheals atl 3 ® Unteates! Srabetes or Hyper ae = et 5. = nl mas Complheations + pp a a a ins Se a Se st ™ a Septol es — ™ ee = ater s © Eo ele Sitinaaea peered’ | ee a @ Timon A re Cou: 1_@ Berga: 9 Mali geet. a_Os Papillerme @_Sapamous GI Carcinoma a_@ Merle Papllend __@_Anocaxsnome 5G Pleomashve adenoma SMe Meter m_@ Schwanem © _byphome, nr © Meningioma +. ea kang Plesmeeations fi @ Kemer gisme Gene... PN pp ese —_ Glemea @_ Conthaindication + -_@ Acute Nasal oF Sinus Inlechen @ Untrecded drabotes @ Bleeding Aethesi @ Com plicahons — Pastoperahve : \__@D Bleecin ane aS ee eee ® ptal Pevloyochon ® Suprosp Sepression @_ Saddle Mase dela mit @ Collumella jchachon @ Persistence A Septal tevetion @ OSE —Rhinnowth cea. @ Texie Shock Syndrome. on |e gy jm ” XK. —% * KE | @ "TWpes ol THecheostomy : | Emergency “Tracheosiam @ Elective “oy Tranguil bacheostimy b @ Permanent Tiaches stony ag DS a2 ttoneau Silatotronal . tected © Mini tvacheastomy Ccriecttyridectom oft sfc ft fu tf mf ef ¥ A 2 ——@_Extiachual abscess 4 —@ Subdued abscom = C Frontal bone v2 Mexxilla.) @ Brain abscess | x Bs B@E@ovemous Siu Thromsoss “© Orbital Complications és S_@ Pre septal Inflamm mcttory edema Ay Mice cee a -S__@ Subpericsteal obscen 6 cobtal cont chs salt a PR @ orbital abscess MG) Seer oibital Gsure Syndvome, ™_@© Orbtel apex _Syndvome,_ “ - qe -@ Predisposing Factors Ger Chronic Rhine Sinusitis + qa Ot Datien’ Factor, :and_Environmental Factors ; Ao © pee Structwal deermihes Cobshuchns, Sious Mectin.) — Aas @ Lope A Mucocillay Clearance ie @ Systic een ee Syndreme a wtaactbenes | Thy @_Csteits and Csteomyelihs P @ Dente! Wwhechons CDental Sepsis © Asthma @ Alerg a D Henditin Fa chor o BD Endocimal clufurbemce C Pubesty, Ineluny Female mere) » @ Nutntionall clallcioney s nll @ InQectwe. 2 Anstnunt Pavoces Sitar ® 4 a iS Be 2 ie} Ul @ Medical: @ Surgical : @ Nasel_lngechon O YSung's OPersher @Q_Glycesine @ Navrovsng . 4 Nasal ein i 1 @ bec Avhbishes = @_ Syteme Anhbicshies 3] Losyny, Phowynw Oe > SISA ETFTS) SECEDE) Date aan jects, zt Ceystic Lents fl Levy) 1 ptas ale are _ssuio >. |@. | tis swell to dilotien yA x ey Sete. ee a AA seti le. aay be; PA care a” @ intemal a ae 7 —@ Eetemal The clidbecled Saccal herniate through the ~ i. thynviel yremb yen ae Neck. D _@ Combinecl er Mixecl: Baik lctemal .b Extenal Conpnadar Seen .— 1 ~» Clinical Features : e i) seipresedsauihk Noarenes, Cagh cobshuchen 4a Ap wsayy Bar Investigations poy D Inclirest Laryngoscopy . @ X=vay Latevel view Neck Fe @ Soot tissue AP (Xow) @ CT— Sean + Teatment : -- @_Surgices Excision through on Extemal Neck (ncisien- r @ Mensupiabizotion ch can Interral Laymgocele. +O Lavyngomalacia : Congenital Lanmgeal Stridey ) eee ee eWay 4 Laynx- é 48 = cheractenzed by & ive Maceicli of, Supraglettic oe ia Which [5 Suckect jn luring [napivatron Product Stidoy 1° and Sometime Cyanosis— € 5 Stricter is_Increases!_on Crying = lo = Seine ee at but or Sees, 5 Usually tu appeay by is =e | an ee gy 2 Direct Lowmgasce py Sho os Elongatesl Epigletha , ply * yp __ Aveypigiothe 4d _and_Premmnertt arytenoid a. 2 Tyeatment : i o - BTV ir -tsarnitar eee e upload S[M[T [WI T[FTS D: + @_ Causes of Lox: geal pitas in_Childyen Lawyngomalaca genital Vocal Gard Powaliysie Congenital Sub- alttic Paral Yee Lovnseal useb Sub-Alathe hemangiom Lannses- cxsephagea| cll @ Lowel ng, elie @ Lerinsecl Cyst. » Vs PP aon geal shidor a N 7G Thvetigaten ol Case df Carcinoma _Lovynx Ti lesions ff \ocal Corda: E 7 O Het: D-symploma 4 glee , Subglattie and Supreglehie. vent, | -@ hndueet lawingoscapy, TS lock Gur @Appearance & lesions @\ocal_Cnd mobil GE Etat 4 mE _@ Excrminethon J Neck : To leole Gur. @ _Extvelaningeal Spread @ Nodal. metoutousis _@ Radiography 7 @ X-Yay, SoM tissue lateral view neck. @ cl= Scan __@_Conbrast Leryngo gram = _-@ Died Layyn: OSCOPY + : jo See hidden reas “A Lewjnx. | @ Micaplengessety : 2s Sinoll__leaions a Nocal Cords Supravital a ' {aaa elo foudgalectahew. dea Soer bnicpet ee ipo leukoplakic patch. So ignant ture an a namlibroma me | — 3 a e NasoPhasnx 5 = a D Che anal_Polyo ® Lymphoma, ad ae Papiliome Gi Rhahdlemye savcarncy o_ Phleamorphic adenoma, @ Cherdoma @ Creme hewn groom oo @ Hemangs Peri cytomes @ Hamarbma © Mel cinema, a)ajalalaja ®@ Tamers | A Hype, horynx + ign Tumor © Mabgecnt tumer . = ; c te Uncommon) ——©_Corcinoma A Hypaphantn +o Papilema @ Sqpemeus coll — Carcinema 4 4 _@ Adnona @ Pyo}om Sinus Gas 7 @ lipoma @ Ca- post Cmresid region WG perenes @ Ga= Post Phowngeal wall _ = ‘EJ 4te Beman ‘[umor 4 Lasynx : 4% @Non= Neoplastic © Neoplashc 4° @.Solid __© Sqpramous papillana Oqwenle tyee gD Vocal nodule 20 @ Adult Hee 5 Wii @ Vocal Pdyp @_Chandvoma yi @ Rienke's edema @_ Hemangioma 0 @ Conferct ulcer /gyanuloma @ Gronlor ll tumor Ewe. Leukoplakicn @_ Glandulan tumey 0Phleemaphie Adunema — i ee Amyloid tunor @ Oncecytoma in @Cyste @ Neurblernmeam a in ucteal Cyst @ Rhabdormyorna a Pp @ Secclar Set @ Lipemo, Frbrome (i Eee ERDAS +O Phowyngeal Pouel f=» When Hype pharyngeal muscle Hemiote through the Kilien's dehiscence - Cwhth is a weak Avea bl two parts A, ths Inberoy Constyictows ). @ Achology: D Spasm A Cricophanjngeal Sphincter ey its Incoardinabed. Sortrachons clunng act oh cleglidihen. Seen alten Gclhyes mn Nctr 7 @ wally |-@_Clinieal Features: } D_Dys ph Be Arse aasant ae naeal cdiverticulum or Zanker!s Avert elilina —" L alien Vite) Se ete te emcee ere @_Undigested Gooa mey Gegwanbe at might (Glebe ans eect eels ie aie a @_Aspnedion Preumeriia Can secur. @ Dia gnosis i @ Bayi Swallow Cusill_show the Sac x ths Size) 1@ Tre otmenta « @ Excise ch Pouch 6 Cncophory neal Myctony— @ Dahlmans Precackuna @ Endoscepie Lasey Treatment » || | oe) oe | | | | a] | w wu 7 @ .Jugulax Eoyamen Syndrome: —» When Nasophawngec! Garcinema Spreads {op the Grnum cand \nvdves Qik, lok end Ay iio Seianieaiaatt Consphiter —Togulor Fsomen Syndrome — | as Usuoly This te lato Pras <4 enlarged Lateral wi jw le lw fe je |e pew | ee ngecl Laine i ee those pexves ws ne 7 Bas ale \s\= |= WF Xo © ey let tTF ili eck Ay o Midline Neck wellin, QD -Submertel Lymph = = j BU Dermoia 5 CSutrertal torah @ Ludwig's Angina Ey @ lhyrglesal duct Cyst © Vyrvic thems "Tamer @ _DelPhian node Enlosgment @ Advanced Lavnged malignancy = Date: @_ Lateral Neck. welling» @_Submercdibular Sialedendis YS Dla lng gonula @_Paenchic) Cyst 4 @©_ Swelling Thyroid bebe sil @__Caxcthid bedy tumor - eee @ Cystic hygroma _ @ Investig otions : ST -Seen i " oe = @_X=Ya: Oe | 2) {else ES Fracture A Pedete _ @ Le Eat T (Pyramidal) — Frache Passes through the: abel 4 | ese Lacrmal bene 1 oor ah orbit, upper Pant Ay wevulens , Sinus and plergoid Palate — ” Ccommnen ue ee 4rachuves) “ @ Le Fovt m (Cramolacial dystunchon) —» Complete, 5 pes A, Facial bones Gam the Craricl bones . ® Inyeshgedom —Frachne (Spasm oy spasmodic episodes. @ Clnical Examination @ Blood — Examinahon + ( Haem: eve) @ Readiclos 4 @ X—vay cheat @__Leteral View Neck Beyrrium Swallow @ Manomebic and PH— studies | @ Oesophagasce @ More te Liquids —» C Povalytic leans ) @ Mor te Solict —» CMahgnancy 2 Stiduse ) ji @ Intolerance to Acid mad g Juice —» CUlceretive lesrons ) ‘3 lea la lo —@_ Other _Inveatig acrons 4\4W4 Weve ld lah @_Bronchescop ® Wyrid Scan @_ Caysiac Cathetenizachon La wHTFTS] Date: pr Oesaphagoscopy ‘ + @Dper_l_Ocsophagoscopy : DRigid_ Ce soph Sposcap : 4 @ Flevitte fitreapti ea = espe peceaty yO Ticnsnacal 1 Gesephagoscopy . 30 Re eee fos eeincicallang 3 _O_Fev diagnostic Duy W__ OTS Investigate Come der Sysphagia WA ic Gach Ae Retrosteamal beaming ~ a Perey Naematenbuin @ ao @ For Terapeitic Purposes : D Removal A Goreign bed; 2 a a pass |. Oesophageal sivichres o Cadac Achalain” a a @ Endescepie vemoval benign sreaiee 29 Fibrema, Papillana = Injechon sh Zsophagea) Varices— ton a 17¥ © oe eae Cesophagoscopy + s w @D Taismus 2. - * @ Disease oh Cewical Spine. i o @ Receding orandible * s * Q Aneurysm Aorta o fear <4 quphire @ Advanced Heart, Liver or Kidney chiseases a =z to Lips and ie __ @ Injury te Se 4 @ Injury to Phay fetal Mucosa x on @ Compress one Trachea 8s) @ Rigid Bronchoscop @ Flexible Fibreopti a @ Indications—Rigid Bronchoscopy : a —O_For slagnostic Puypeses : & “© Te Binet cut Cause efor wheeping , Hacmophysis oy 4 it _& Vy [ UnexPlewied Cough dsr mere than 4 —misecka. ey al Cayd Pal @_Collechen el Bremchal Secrchons Gov Culture § Semshuiy esta) @ bshen Yer hest Shows Chrmic /Advanced Lung. chieaser, I! @)_Fey The raapeuti Purposes: 5! Removal o} Fore gn boclies. » @ Removal A. Rete Sec it QD _Infury te teeth anc lip, ® ® b @_ Heemowhage Grom the biepsy _Site [® Hei 5 Cavldc “Ane . @ Laryngeal edema. Oi. (SIs whtrys 4 @ Furchon Sela ee eee kl AD Alternative Pathway dey Breathing a Ca Proves Alveclos Ventlodron YG) Distects the Aiwoay,_ a 7 —_@ Perms moval df Tyacheabranchial Secchans- J —@_nteomittert Pesthve Pressure Reapredton (cae 2 2 eee pH —@) To Aclminister Anesthesia, NG TrAlcadiane dl feeckecchesy Seam oe

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