Dra. Natalia Villarreal del Bosque

Head and neck radiologist, PET/CT radiologist 🇲🇽. Interested in #MedEd #hnrad

[ASHNR @ASHNRSociety]

#ASHNRCOTW #289: ANSWER. Thx Dr.
@CharBranstetter 4 case! #ASHNR25

@callyrobs @DShatzkes @CDP_Rad @rhwiggins
@nakoontz @KRileyMD @CMGlastonbury @tabby_kennedy @PhilipRChapman
@cmtomblinson @amyfjuliano
@bpoliceni @MohitTCCNeuro @AshokSrini15
@KatieTraylorDO @CynXinWu

[ASHNR @ASHNRSociety]

#ASHNRCOTW #284: ANSWER. Thx Dr. Warren 4 case! #ASHNR25

@callyrobs @DShatzkes @CDP_Rad @rhwiggins
@nakoontz @KRileyMD @CMGlastonbury
@tabby_kennedy @PhilipRChapman1 @cmtomblinson
@amyfjulian @bpoliceni @MohitTCCNeuro @AshokSrini15 @KatieTraylorDO @CynXinWu

[ASHNR @ASHNRSociety]

#ASHNRCOTW #278: ANSWER. Thx @janice_a_wang +
@kelly_dahlstrom 4 case! #ASHNR25

@callyrobs @DShatzkes @CDP_Rad @rhwiggins
@nakoontz @KRileyMD @CMGlastonbury @tabby_kennedy @PhilipRChapman1 @MohitTCCNeuro @AshokSrini15 @amyfjuliano @CynXinWu @bpoliceni @KatieTraylorDO

[Dra. Natalia Villarreal del Bosque @nattvb1]

@ASHNRSociety @alexkashou @AAguilera_MD @callyrobs @DShatzkes @CDP_Rad @rhwiggins @nakoontz @CMGlastonbury @cmtomblinson @tabby_kennedy @PhilipRChapman1

[Oren Gottfried, MD @OGdukeneurosurg]

Airway Anatomy sticker

[ William Morrison, MD @morrisonMSK]

Facts 🩻🐈‍⬛

[Dra. Natalia Villarreal del Bosque @nattvb1]

@ASHNRSociety @KimberlyRongo @callyrobs @DShatzkes @CDP_Rad @rhwiggins @nakoontz @KRileyMD @CMGlastonbury @cmtomblinson @tabby_kennedy @PhilipRChapman1 @AshokSrini15

[Nicholas Koontz @nakoontz]

New full-length lecture now available — Stroke Imaging: Review and Future Directions https://t.co/pDmMxC1SQr via @YouTube. Geared toward learners interested in stroke imaging & intervention. Enjoy & check out my other lecture content! #MedEd #FOAMed #FOAMRad #RadRes #NeuroRad

[ASHNR @ASHNRSociety]

#ASHNRCOTW #251: Tinnitus. Thx @Eric_Balle1 + @IURadiology 4 case! #ASHNR24

Answer w/ appropriate GIF only -- stay professional & don't spoil it!

@callyrobs @DShatzkes @CDP_Rad @rhwiggins @nakoontz @KRileyMD @CMGlastonbury @cmtomblinson @tabby_kennedy @PhilipRChapman1

[ASHNR @ASHNRSociety]

#ASHNRCOTW #247: ANSWER. Thx
@pedsneurorad 4 case! #ASHNR24

@callyrobs @DShatzkes @CDP_Rad
@nakoontz @rhwiggins @KRileyMD
@CMGlastonbury @cmtomblinson @tabby_kennedy
@PhilipRChapman1 @CynXinWu @MohitAgNeurorad @AshokSrini15 @RadRupa @WmOBrienDO @kmmosier @KatieTraylorDO

[ASHNR @ASHNRSociety]

#ASHNRCOTW #242 ANSWER: Thx @Mel19565437 +
@rhwiggins 4 case! #ASHNR24

@callyrobs @DShatzkes @CDP_Rad @nakoontz @KRileyMD @CMGlastonbury @cmtomblinson @WmOBrienDO @kmmosier @tabby_kennedy
@AshokSrini15 @MohitAgNeurorad @AnnJayMD1 @amyfjuliano @PhilipRChapman1 @kmmosier

[ASHNR @ASHNRSociety]

#ASHNRCOTW #240: ANSWER Thx @rhwiggins and @UUSOMdailyrads 4 case! #ASHNR24

@callyrobs @DShatzkes @CDP_Rad @nakoontz @KRileyMD @CMGlastonbury @cmtomblinson @WmOBrienDO @kmmosier @tabby_kennedy @AshokSrini15 @MohitAgNeurorad @AnnJayMD1 @amyfjuliano @PhilipRChapman1 @kmmosier

[Dra. Natalia Villarreal del Bosque @nattvb1]

@ASHNRSociety @rhwiggins @UUSOMdailyrads @callyrobs @DShatzkes @CDP_Rad @nakoontz @KRileyMD @CMGlastonbury @cmtomblinson @RadRupa @WmOBrienDO

[Lea Alhilali, MD @teachplaygrub]

If you are only looking at the ears in patients w/otalgia, you need LISTEN UP!

In 50% of cases, the source of pain isn’t the ear!

So-called “referred otalgia” comes from other nerves in the head & neck

Do YOU know which?

I’ll show you how to remember them—just hear me out!

➡️Referred otalgia is a “sensory error.”
🔸Multiple nerves converge in the head & neck and CNS can’t determine which one the pain comes from
🔸Same mechanism why a patient’s left arm hurts during a heart attack!

➡️Ear is innervated by the trigeminal, facial, glossopharyngeal, & vagus.

Pathology affecting these nerves in other places can cause otalgia. Here’s where to look:

▶️Trigeminal V2
🔸Causes otalgia via the auriculotemporal branch of V3
🔸Nasal cavity pathology can cause V2 referred otalgia
🔸Remember: V2 is where you go aaah-chooo

▶️Trigeminal V3
🔸Can cause otalgia via the auriculotemporal branch
🔸Oral cavity pathology and jaw can cause V3 otalgia
🔸Remember: there are 3 types of taste in your mouth (salty, sweet, bitter) = V3

➡️Facial VII
🔸Can cause otalgia via its posterior auricular nerve
🔸Sphenoid & soft palate pathology cause VII otalgia
🔸Remember: Seven & Sphenoid & Soft all start with S

➡️Glossopharyngeal IX
🔸Otalgia via nerve of Jacobson & tympanic plexus
🔸Pathology in the pharynx can cause IX otalgia
🔸Remember: glossoPHARYNGEAL causes otalgia from the PHARYNX

➡️Vagus X
🔸Otalgia via the tympanic nerve & auricular nerve
🔸Pathology in the larynx can cause X otalgia
🔸Remember: the shape of X looks like the larynx in the coronal plane: wide supraglottic larynx, narrow larynx, wide again in the subglottic larynx

Remember, when it comes to pain where you LISTEN, you have to know where to LOOK!

[The Cortex Club @thecortexclub]

The much awaited recording of @teachplaygrub session on Skull Base Tumors is here ! LINK : https://t.co/7nmYVQyWvu

[ASHNR @ASHNRSociety]

#ASHNRCOTW #236 ANSWER: Pyolaryngocele! Thx Drs. Kerby & @bpoliceni 4 case! #ASHNR24

@nancyfstanford @callyrobs @DShatzkes @CDP_Rad @rhwiggins @nakoontz @KRileyMD @cmtomblinson @WmOBrienDO @ESHNRSociety @CMGlastonbury @tabby_kennedy @PhilipRChapman1 @amyfjuliano @AnnJayMD1

[ASHNR @ASHNRSociety]

#ASHNRCOTW #236: Fever & chronic hoarseness. Dx? Thx Drs. Kerby & @bpoliceni 4 case! #ASHNR24

Answer w/ appropriate GIF only -- stay professional & don't spoil it!

@callyrobs @DShatzkes @CDP_Rad @rhwiggins @nakoontz @KRileyMD @cmtomblinson @ESHNRSociety @CMGlastonbury @RadRupa

[ESHNR @ESHNRSociety]

Top tips 🤓☝️Always consider a nasopharyngeal mass in adults with a tympanomastoid effusion. ☝️Primary parapharyngeal space lesions are rare but displacement patterns are important #hnrad #radiology

[Dra. Natalia Villarreal del Bosque @nattvb1]

@monicahuerta_ Listo!

[ASHNR @ASHNRSociety]

#ASHNRCOTW #231 ANSWER: Sinonasal fibrous dysplasia! Thx Drs. Kerby & @bpoliceni 4 case! #ASHNR24

@nancyfstanford @callyrobs @DShatzkes @CDP_Rad @rhwiggins @nakoontz @cmtomblinson @CMGlastonbury @ESHNRSociety @tabby_kennedy @AshokSrini15 @PhilipRChapman1 @CharBranstetter