1. Head and Neck You are presented with clinical photographs. Answers are provided in the next slide.

2. Comment on Head

3. Large head Uneven Paget’s disease

4. Describe her hair

5. Localized area of loss of hair Allopecia areata. Patient with Lupus

6. Describe the auditory pathway

7. External auditory canal Tympanic membrane Ossicles Cochlea Auditory nerve

8. Identify the structures of ear drum

9. Pars flaccida Pars tensa Handle of malleus Short process of malleus Umbo Incus

10. What do you see?

11. Nasal polyp

12. Identify the numbered structures

13. 1. Inferior turbinate 2. Middle turbinate 3. Superior turbinate Arrow Maxillary sinus drainage 4. 5. 6.

14. Describe the tongue.

15. Multiple Telengiectasia over tongue and lips. Patient with hereditary hemorrhagic telngiectasia.

16. Describe his gums

17. Gums are hypertrophied. Patient with Leukemia

18. Describe Tongue

19. Indentation along the sides suggesting large tongue. Patient with Amyloidosis

20. Describe Tongue

21. Depapillated smooth tongue. Patient with Iron deficiency anemia

22. Describe Tongue

23. Indentation along the sides of tongue, suggesting large tongue. Patient with amyloidosis

24. Describe

25. Mucous membrne ulceration Chemotherapy

26. Your observation. Diagnosis?

27. Bilateral parotid gland enlargement. Ear lobes lifted. Patient with Sjogren’syndrome.

28. Likely reason for neck swelling?

29. Lumpy, bumpy and bilateral. Lymphadenopathy Patient with Lymphoma

30. Describe