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H E A D & N E C K B L O C K 12
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RHINORRHOEA, BLOCKED “NOSE” & ANOSMIA
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FUNCTIONS OF THE NOSE AIRWAY
WARMING OF AIR HUMIDIFICATION OF AIR CLEANING OF AIR SMELL (Food) SMELL (Protection) VOICE RESONANCE NASAL REFLEXES SEXUAL
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What can narrow or block a tube?
Something entering the lumen. Something that is normally there, changes. Something pushing in from neighbouring structures.
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Normal contents WHAT CAN GO WRONG???
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Embriology ///////////////////////////////
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Cilia
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Septum ///////////////////////////////////
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Muc.membrane
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Secretions (N7) ///////////////////////////////////
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Turbs vascular (N7) ///////////////////////////////////
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Foreign body Tumour ///////////////////////////////////
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From outside ///////////////////////////////////
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SINO-NASAL PATHOLOGY SYMPTOMS
PAIN Burning Stabbing Throbbing Pressure BLOCKED Unilateral Bilateral Intermittent Progressive DISCHARGE Watery/Mucoid Yellow/Green Blood ANOSMIA CACOSMIA ITCHING SNEEZING EPISTAXIS
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Sensory olfactory epithelium
10 million receptor cells with 8-20 olfactory cilia (non – motile) 40 nerve bundles transverse the cribiform plate – enter the anterior cranial fossa and the olfactory bulb Only volatile substances can be detected by the olfactory neurons and the molecules must be soluble in water and lipids.
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Nasal obstruction Medical interventions Drugs Drugs (65) Nutritional
Industrial dusts and pollutants Drugs (65) Medical interventions Nutritional Neoplasms Psychiatric Endocrine Infections Drugs Neurological Nasal obstruction KALMAN KARTEGENER Medical interventions
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If the level of olfaction fluctuates or the use of
a intranasal decongestant or steroid improves olfaction, there is a conductive cause in the nasal space and it can be treated!
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SINUS BAROTRAUMA + + PAIN (ACUTE) EPISTAXIS Rx NASAL DECONGESTANT + +
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VASCULAR Koue lug Drawwers Medikasie Rinitis medicamentosa
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MEDICATION Rh Medicamentosa, A/ht, V, Progest, A/chol
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Obstructive Sleep Disorder
1/25 adults (same as asthma and diabetes)
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Sudden Infant Death Syndrome
⅓ Altered autonomic control Prolonged QT-interval Atrial fibrillation Hypoxia
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Cardiovascular System
20% MI and 15% sudden death Depression of respiratory control Decreased arterial oxygen saturation Atrial fibrillation Heart failure Hypertension
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Brain Infarction 23,3%
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