Atlas of Human Anatomy by Netter

(Darren Dugan) #1

FACTS & HINTS


High-Yield Facts


Anatomic Points


The piriform fossa is a common site for fish bones to lodge. It is also a site where pharyngeal tumors can grow undetected for a period of
time.
Aggregations of lymphoid tissue in the nasopharynx are called adenoids. They can become enlarged in children, causing obstruction of the
nasopharynx and forcing the child to breathe through the mouth.

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Clinical Points


Pharyngitis
Also called a sore throat
Usually caused by viral infection
In children, common cause of bacterial pharyngitis is beta hemolytic streptococcus
If infection is severe, auditory tubes can become blocked, predisposing to otitis media
Patient may complain of pain on swallowing and pain referred to the ear
On examination, the throat may be reddened and cervical lymph nodes may be enlarged

Clinical Points


Tonsillectomy
Surgical removal of the palatine and lingual tonsils
Tonsillectomy is advised if the patient has experienced recurrent attacks of tonsillitis, particularly if they resulted in airway obstruction and
hearing difficulties
A major and common surgical procedure performed in children in the USA
Recovery usually within 2 weeks, although for adults this may take longer and can have a higher complication rate
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