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Forwarded from Time to Study ๐ŸŒฟ
If we suspect the child has epiglottitis ,examination by tongue depressor
should be avoided for the risk of laryngeal spasm which may be fatal .
๐Ÿ”ฅ1
Time to Study ๐ŸŒฟ
If we suspect the child has epiglottitis ,examination by tongue depressor should be avoided for the risk of laryngeal spasm which may be fatal .
ุชููŠุฏูƒ ุญุชู‰ ุจุงู„ุทูˆุงุฑุฆ ุฃูˆ ุจุงู„ู…ุณุชู‚ุจู„
โค1
Forwarded from Time to Study ๐ŸŒฟ
ูƒุนู„ุงุฌ
Unilateral -> Medialization

Bilateral-> lateralisation
ู†ุจุฏูŠ ู†ุฑุงุฌุนุŸ
โค3๐Ÿค1
Forwarded from pure angel
Ramsey hint syndrome :


ุฏูƒุชูˆุฑ ุงุญู…ุฏ ุนู„ูˆุงู† ูŠุณู…ูŠู‡ุง ู…ุชู„ุงุฒู…ุฉ ู‡ุงู†ูŠ ุฑู…ุฒูŠ ุงู„ุณุจุจ ุงู„ุฑุฆูŠุณูŠ ู„ู‡ุง ู‡ูˆ VZV reactivation ูุฑุงุญ ูŠูƒุชุจ ุงู„ุฏูƒุชูˆุฑ ุจุงู„ูƒูŠุณ ุงู†ู‡ ุงู„ุดุฎุต ุนู†ุฏู‡ rash & vesicles in face ูˆูƒุฐู„ูƒ ู…ุตุญูˆุจุฉ ุจุงู„ู… ุณุงุญู‚ ูˆู…ุณุชู…ุฑ ูˆูƒุฐู„ูƒ sensorineural hearing loss ู‡ุฐู‡ ุงู„ุญุงู„ุฉ ูู‚ุท 10% ู…ู† ุงู„ู…ุฑุถู‰ ู…ู…ูƒู† ูŠุตูŠุฑ ู„ู‡ู… recovery ุงู„ุจู‚ูŠุฉ 90% ู…ุง ูŠุตูŠุฑู„ู‡ู… ูˆุนู„ุงุฌู‡ุง ู†ูุณ ุนู„ุงุฌ bellโ€™s


โœจ๐Ÿฉต
โค1
Forwarded from pure angel
melkersson syndrome :


ู‡ุฐู‡ ุงุณู…ูŠู‡ุง ู…ู„ูƒ ุฑุณูŠูˆู† ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚ ุงู„ู…ู‡ู… ู‡ุฐู‡ ุงู„ูŠ ูŠู…ูŠุฒู‡ ุงู†ู‡ ู‡ูŠ alternative recurrent palsy ูŠุนู†ูŠ ุชุฑูˆุญ ูˆุชุฑุฌุน ุจุณ ุจุงู„ุฌู‡ุฉ ู„ุฎ ( ู…ุซู„ุงู‹ ุตุงุฑุช ุนู†ุฏู‡ ุจุงู„ุฌู‡ุฉ ุงู„ูŠู…ูŠู† ุฑุงุญุช ู†ูˆุจ ุฑุฌุนุช ุจุงู„ุฌู‡ุฉ ุงู„ูŠุณุงุฑ ุทุจุนุงู‹ ุญุณุจ ูƒู„ุงู… ุงู„ุฏูƒุชูˆุฑ ุงู†ู‡ ู‡ุฐู‡ ุตูุฉ ุชุนุชุจุฑ benign ูˆู‚ุฏ ูŠูƒูˆู† ุณุจุจู‡ุง family history ๐Ÿ’ก) ูˆู…ุฑุงุช ู„ุง ุชุฌูŠ bilateral ููŠ ุญุงู„ุงุช :-

โญ๏ธleukemia
โญ๏ธ lym disease
โญ๏ธG.barre syndrome (most common )

โญ๏ธsarcoidosis , mononucleosis,rabies


ุทุจุนุงู‹ ุงู„ุญู„ูˆ ุจุงู„ูƒูŠุณ ุงู„ุฏูƒุชูˆุฑ ู…ู…ูƒู† ูŠูƒุชุจ ูˆูŠุงู‡ุง tongue fissure &facial edema

๐Ÿ’ž๐Ÿฆ‹
Forwarded from pure angel
ุชุฐูƒุฑูˆู† ุจู…ู„ุฒู…ุฉ ear trauma ูƒูˆู„ู†ุง ุนู†ุฏูŠ 3 ุงู†ูˆุงุน ู…ู† fracture ูˆุงู„ูŠ ู‡ูŠ :-


๐Ÿ‘‰๐Ÿปlongitudinal fracture this association with facial nerve damage + TM ,external ear damage

๐Ÿ‘‰๐Ÿปtransverse fracture ๐Ÿ‘‰๐Ÿปhigh risk of facial nerve damage & labyrinthine



โ€ฆ
Forwarded from pure angel
Tumor effect on fascial nerve :


ุฅุฐุง ูƒุงู† primary tumor ู…ุซู„ shawannoma & hemangioma ู‡ู†ุง ุฅุฐุง ูƒุงู† poor prognosis ุฑุงุญ ุฃุดูŠู„ nerve ูˆุงุญุท ุงุจุฏุงู„ู‡ graft โ€ฆโ€ฆโ€ฆ ู„ูƒู† ุฅุฐุง ูƒุงู† good prognosis ุฑุงุญ ูŠูƒูˆู† ุงู„ุนู„ุงุฌ conservative & follow up


โ€ฆโ€ฆโ€ฆ

ูˆูƒุฐู„ูƒ ู‚ุฏ ูŠูƒูˆู† ุณุจุจู‡ secondary ูŠุนู†ูŠ ุจุงู„ parotid gland tumor ู…ุซู„ squamous cells carcinoma & adenoid cyst โ€ฆโ€ฆุงูุชุญ ู‡ุฐุง ๐Ÿง  ุดูˆูŠู‡ ุจุงุนูˆุง ู‚ุจู„ ุงู„ุนู…ู„ูŠุฉ ุฑุงุญ ุงูุญุต facial nerve ุฅุฐุง ุณู„ูŠู… ูุฑุงุญ ุฃุญุงูุธ ุนู„ูŠู‡ ูˆุงุฐุง ู„ุง ุตุงูŠุฑ ุจูŠ invasive ุฑุงุญ ุฃุดูŠู„ู‡ ๐Ÿฅฒ

โ€ฆโ€ฆ
Forwarded from pure angel
ุนู†ุฏูŠ ุงุฎุชุจุงุฑ ุงุณู…ู‡ ุดู…ุฑ ู‡ู†ุง ุฑุงุญ ุงุญุท ูˆุฑู‚ ุจุงู„ุนูŠู† ูˆุฃุจู‚ูŠู‡ุง 5min ุฅุฐุง ูˆุญุฏุฉ ู…ู† ุงู„ุนูŠูˆู† ูƒุงู†ุช ุงู‚ู„ ู…ู† ุงู„ุฎ ุจ75% ุงูˆ ุงุซู†ูŠู†ุงุชู‡ู… ุงู‚ู„ ู…ู† 10mm ูู‡ู†ุง ุฑุงุญ ุงูƒูˆู„ ู‡ุฐู‡ ุงุจู†ูˆุฑู…ู„ ูŠุนู†ูŠ ุงูƒูˆ damage in greater superficial petrosal nerve


๐Ÿฆง
Forwarded from pure angel
ู‡ุฐู‡ ูˆุงุถุญู‡ ุจุณ ุงุณุชุนู…ู„ audiรดmetry ูˆุงุฐุง ู…ุงูƒูˆ reflex ูŠุนู†ูŠ ุงุจู†ูˆุฑู…ู„
Forwarded from pure angel
ุงุญู†ุง ู†ุนุฑู ุงู†ู‡ facial nerve ูŠุนู†ูŠ chorda tympani branch ูŠูุชุญ ุจุงู„ tongue ุฑุงุญ ูŠูƒูˆู† ู…ุณุคูˆู„ ุนู† tast ูู‡ู†ุง ุฑุงุญ ุงุญูุฒ ู‡ุฐุง ุงู„nerve ุจูˆุงุณุทุฉ electrigustomtery ูุงู„ู…ุฑูŠุถ ุฑุงุญ ูŠุญุณ ุทุนู… ู†ูุณ ุทุนู… ุงู„ู†ุญุงุณ ุจุงู„ุฌู‡ุชูŠู† ูˆุงู‚ุงุฑู† โ€ฆโ€ฆ

๐Ÿฅ๐ŸŒน
Forwarded from pure angel
ุฑุงุญ ุงุญู‚ู† citric acid ุจุงู„warthin duct ุงู„ู…ูุฑูˆุถ ูŠุชุฏูู‚ ู„ุนุงุจ saliva ุถู…ู† ู†ุณุจุฉ ู…ุญุฏุฏุฉ ุฅุฐุง ูƒุงู†ุช ุงู‚ู„ ู…ู† 25% ูู‡ุฐู‡ ุงู„ุญุงู„ุฉ ุงู„ู†ูˆุฑู…ู„ โ€ฆ
Forwarded from pure angel
Mild type 2:


Muscle weakness ๐Ÿ‘‰๐Ÿปslight

Eye closure ๐Ÿ‘‰๐Ÿปcomplete closure

Symmetry of smiles ๐Ÿ‘‰๐Ÿป slight asymmetrical

Muscle spasm ๐Ÿ‘‰๐Ÿปabscent

Synkinesis ๐Ÿ‘‰๐Ÿปbaraly noticeable


๐Ÿ’žโญ๏ธ
Forwarded from pure angel
Moderate type 3:


Muscle weakness ๐Ÿ‘‰๐Ÿปabvoius (ุญุชู‰ ู…ุง ูŠูƒุฏุฑ ูŠุฑูุน ุญุงุฌุจู‡ )


Eye closure ๐Ÿ‘‰๐Ÿปcomplete closure

Symmetry of smiles ๐Ÿ‘‰๐Ÿป asymmetrical

Muscle spasm ๐Ÿ‘‰๐Ÿปpresen

Synkinesis ๐Ÿ‘‰๐Ÿปpresent but no disfigured




๐Ÿ’žโญ๏ธ
Forwarded from pure angel
Moderate type 4:


Muscle weakness ๐Ÿ‘‰๐Ÿปabvoius


Eye closure ๐Ÿ‘‰๐Ÿปincomplete closure

Symmetry of smiles ๐Ÿ‘‰๐Ÿป asymmetrical

Muscle spasm ๐Ÿ‘‰๐Ÿปpresen

Synkinesis ๐Ÿ‘‰๐Ÿปsever




๐Ÿ’žโญ๏ธ
Forwarded from pure angel
Moderate type5:


Muscle weakness ๐Ÿ‘‰๐Ÿป Motion barely perceptible

Eye closure ๐Ÿ‘‰๐Ÿปincomplete closure

Symmetry of smiles ๐Ÿ‘‰๐Ÿป slight movement coronal

Muscle spasm ๐Ÿ‘‰๐Ÿปabsent

Synkinesis ๐Ÿ‘‰๐Ÿปpresent




๐Ÿ’žโญ๏ธ
Forwarded from pure angel
Type5 (total paralysis ):


๐Ÿ‘‰๐Ÿปno movement
๐Ÿ‘‰๐Ÿปloss tone
๐Ÿ‘‰๐Ÿปno synkinesis
๐Ÿ‘‰๐Ÿปpresent spasm &contraction

๐Ÿฆ‹๐Ÿฅ
Forwarded from pure angel
Neurapraxia ๐Ÿ‘‰๐Ÿปcompression on nerve lead to block


Axonotemsis ๐Ÿ‘‰๐Ÿป damage in axons



Neurotemsis type3 ๐Ÿ‘‰๐Ÿปdamage in endoneural layer


Neurotemsis type4 ๐Ÿ‘‰๐Ÿปdamage in endoneural & perineural layer



Neurotemsis type5๐Ÿ‘‰๐Ÿปdamage in all layers of nerve



โœจ๐Ÿฉต