ENT DX Flashcards
Drooping of upper eye lid-could be result of myasthenia gravis, Horner’s syndrome, eye muscle weakness, damage to oculomotor nerve(C Nerve 3)
Ptosis
Constriction of the pupil
Miosis
Dial action for the pupil
Mydriasis
Increased space between upper eyelid and iris of the eye. Due to retraction of eyelids or exophthalmoses, both are a result of hyperthyroidism
Enlarged palpebral Fissure
Lazy Eye. Decreased vision in one eye bc the brain is favoring the other. Most common vision impairment in childhood
Amblyopia
Rapid uncontrollable movements of the eye. Can be up and down or from side to side
Nystagmus
Narrowing of internal eye blood vessels, seen with ophthalmoscope - indicates hypertension.
Arteriolar narrowing
Constriction of the pupil
Miosis
Dial action for the pupil
Mydriasis
Lazy eye, decreased vision in one eye bc the brain is favoring the other, most common vision impairment in childhood
Enlarged palpebral Fissure
Cross eye
Strabismus
Rapid uncontrollable movements of the eye. Can be up and down or side to side
Nystagmus
Narrowing of internal eye blood vessels, seen with ophthalmoscope -indicates hypertension
Arteriolar narowwing
Eye focuses visual image in front of the retina inside of the eye. Images close up clearly, closer images are fuzzy.
Hyperopia
Double Vision
Diplopia
Drainage from the ear. Can be bloody, purulent or clear and may occur alone or with other symptoms
Otorrhea
Examiner will strike running fork, and places i on top of the patients head in the midline position. In a sensorineural type of hearing loss, sound will travel and be heard more strongly in the goo dear. In a conductive type of hearingloss, the sound will travel towards the poor ear.
Weber test
Examiner will strike running fork, and place it on the mastoid process behind the ear. The examiner will ask the patient to report when they can no longer hear the sound sand once that time in seconds. This is the bone conducted tone.the examiner will note the length of time the patient can hear the running fork in this position. This is the air conducted tone.
Rinne test
Using otoscope the examiner will view the tympanic membrane. Light will reflect off of the tympanic membrane.
- In the right ear, a band of light should reflect off of the tympanic membrane between the 4:00 and 6:00 position.
- in the left ear, a band of light should reflect off of the tympanic membrane between the 6:00 and 8:00 position.
- if the light reflex is positioned anywhere else, it can indicate that the eardrum could be bulged, retracted or inflamed.
Tympanic light reflex
Fissuring and scales on the lips and the angles of the mouth.
Cheilosis
Nose bleed
Epistaxis
Swelling of the tongue. The tongue may also change color(pale or red) and the surface of the tongue may appear smooth.
Glossitis
Difficulty swallowing, could be a result of many things(ex.cranial nerve IX or X damage, esophageal cancer)
Dysphasia
Patient wears headphones and listen to tones in different frequencies and volumes. This test assesses the ability to hear and distinguish sounds at specific pitches and volumes.
What examine is this?
Audiometry