Eyes And HENT (Head, Ears, Nose, Throat) Flashcards
Chief complaints A-F
Aphagia Blurred vision Cough Dental injury, pain, or problem Double vision Ear drainage Ear pain Epistaxis Eye drainage Eye injury Eye pain Eye problem Eye swelling Facial swelling Fever Foreign body in eye, ear, or nose
Chief Complaints H-V
Hoarse Lip swelling Mouth lesions Nasal congestion Nasal injury Otitis media Ringing in ears Sinus pain/ infection Sore throat Toothache Vision change
Ménière’s Disease
An inner ear disorder that can affect both hearing and balance
Turbinate
Structure inside the nose that humidifies and filters air
Stomach stenosis
Narrowing of a stoma by scar tissue
Aphagia
Inability to swallow
Atraumatic
No injury, damage, or trauma to the head
Caries
Cavities
Cerumen
Earwax
Cornea
Transparent coat of the eyeball that covers the eyeball and pupil
Dentition
Pertains to the development of teeth and their arrangement in the mouth
Diplopia
Double vision
Dysphagia
Difficulty swallowing
Edentulous
Having no teeth
EOMI
Extra ocular movements intact
Epistaxis
Nosebleed
ET tube
Endotracheal
Fluorescein
Dye used in eye exam to observe corneal abnormalities, foreign bodies
Gingival
Relating to the gums
Macrocephalic
Head is abnormally large
Microcephalic
Head is abnormally small
Mandible
The jaw bone to which the lower teeth are attached
Mastoid
The skull bone behind the ear
Maxillary sinuses
Sinuses located behind the cheeks
Nares
The nostrils or nasal passages
Normocephalic
Normal sized and shaped head
Periorbital
Situated around the orbit of the eye
Ex: periorbital swelling
PERRL
Pupils equal, round, reactive to light
Photophobia
A symptom of excessive sensitivity to light and the aversion to sunlight or well lit places
Rhinorrhea
Thin, watery discharge from the nose
Sclera
The white of the eye
Septum
The cartilage and skin that separates the nostrils
Sputum
Expectorant through the mouth, thick mucus
Stoma
Opening from an organ to the outside, such as the tracheal stoma that is present after a tracheotomy
Streptococcal pharyngitis (strep throat)
Bacterial throat infection
Tinnitus
Ringing of the ears
TMJ
Tymparomandibular joint
Tonsillitis
Inflammation of the tonsils most commonly caused by viral or bacterial infection
Trachea
Windpipe, breathing tube, the structure that connects the back of the mouth with the lungs
Tragus
Cartilaginous projection in front of the external meatus of the ear
Trismus
Contraction of the muscles of chewing
Tympanic membrane (TM)
A thin membrane that separates the external ear from the middle ear
Exam finds
Always check for signs of trauma and mark whether atraumatic or normocephalic
Chemosis
Swelling (edema) of the conjunctiva
Conjunctiva
Lines the inside of the eyelids and covers the sclera (white part of the eye)
Normal, pale, or conjunctivitis
Corneal abrasion
Painful scrape or scratch on the surface of the clear part of the eye
Ear canal
Cerumen impaction, purulent discharge, erythema
Epiglottitis
Inflammation of the cartilage that covers the trachea
EOM
Extraoccular movements
Fundoscopic Exam
Detects arterio narrowing, AV nicking, exudates, hemorrhage, papilledema, Red reflex, and V pulsations
Hemotympanum
Presence of blood in the tympanic cavity of the middle ear
Hyphema
Blood in the front area of the eye
Icterus
Jaundice
Ex: scleral icterus- yellowing in the whites of the eyes
Injection
Redness
Ex: conjunctival injection
Laryngitis
Swelling and irritation (inflammation) of the voice box (larynx) that is usually associated with hoarseness or loss of voice
Lymphadenopathy
A swelling or enlargement or the lymph nodes
Ex: palpating anterior cervical lymph nodes
Mucous membranes
Moist, dry, pale, cyanotic
Nose
Deviated septum, spetal hematoma, epistaxis, foreign body
Nystagmus
Involuntary eye movements (can be vertical or horizontal)
Otitis media
Inflammation of the middle ear, or middle ear infection
Papilledema
Optic disc swelling that is caused by increased intracranial pressure (visualized on funduscopic exam)
Peritonsillar abscess
A collection of infected material in the area around the tonsils
Anisocoria
Unequal pupils
Pharyngitis
Inflammation of the throat or pharynx
Posterior pharynx
Airway patent, uvula, peritonsil mass, pooling secretions
Ptosis
A dropping of the upper eyelid
Retinal detachment
separation of the light sensitive membrane (retina) from its supporting layers
Septal hematoma
A bruise or bleeding within the nasal septum
Sinusitis
Inflammation of the sinuses
Slit lamp exam
Shine light into the eye to detect corneal abrasion, corneal flare, corneal ulcer, foreign body, hyphema, hypopion, anterior chamber bulge and Fluorescein uptake
Stye
Inflamed oil gland on the edge of your eyelid where the lash meets the lid
Appears red, swollen, bump like a pimple
Subconjunctival hemorrhage
Bleeding beneath the conjunctiva, bright red patch in white of eye
Tympanic membrane (TM)
Bulging, decreased mobility, dullness, fluid levels, hemotympanum, rupture, injected, scarred, perforated, erythmatous, retracted
Cerumen removal
By curette or irrigation
Dental block
Location (right/left inferior alveolar, periapical)
Medication (lidocaine w/ or w/our epinephrine, bupivacaine)
Amount
Epistaxis treatment
Rhino rocket, posterior packing, anterior packing, nasal clamp, nitrous oxide, cauterization, Adrian spray
Antibiotics
Amoxicillin (Amoxil)
Azithromycin (Zithromax)
Amoxicillin-clavulanate (Augmentin)
Cephalexin (Keflex)
Clindamycin (Cleocin)
Doxycycline (Vibramycin)
Erythromycin bass (Erytab or E-mycin)
Penicillin G benzathine (Bicillin)
Penicillin v potassium (Veetids)
Sulfamethoxazole-trimethoprim (Bactrim DS)
Antihistamine (allergies)
DiphenhydrAMINE (Benadryl)
Loratadine (Claritin)
Promethazine-codeine (Phenergan, codeine): antihistamine and narc cough suppressant combo
Decongestant
Pseudoephedrine (Sudafed)
Nasal inhaler
Fluticasone (Flonase)
Mometasone (Nasonex)
Oxymetazine (Afrin)
Ophthalmic ointment
Erythromycin (Romycin)
Sodium Sulamyd Ointment
Ophthalmic solution
Ciprofloxacin (Ciloxan)
Gentamycin (Garamycin)
Ketorolac (Acular)
Moxifloxacin (Viagmox)
Prednisolone sodium phosphate (Inflamase Forte)
Prednisolone (Pred-Forte)
Sodium Sulamyd
Trimethoprim-polymyxin b (Polytrim)
Tropicamide (Mydriacyl)
Oral risk
Chlorhexidine (Peridex) oral rinse for gingivitis
Lidocaine viscuous (Xylocaine)
Otic solution/ suspension
Antipyrine-benzocaine (Auraglan old: Aurodex)
Ciprofloxacin-dexamethasone (Ciprodex)
Neomycin-colist (Clortisporin)
Ofloxacin (Floxin)
Pain Relievers/ fever reducers
Acetaminophen- codeine (tylenol 3)
Acetaminophen (Tylenol extra strength or Children’s Tylenol)
Ibuprofen (Motrin)
HYDROcodone-acetaminophen (Lorcet plus 7.5-650 mg tab; OR Vicodin 5-500 mg tab
Steroids
Dexamethasone (Decadron)
MethylPREDNISolone sod succ (Solu-medrol)
Prednisone (Deltasone)
Bronchodilator
Albuterol (Ventolin) Neb solution
Albuterol-ipratroprium DUONEB solution
Albuterol HFA inhaler 2 puffs
Diagnosis A-O
Acute tonsillitis Angioedema Cellulitis, ear Chest cold Conjunctivitis Corneal abrasion Dental abscess Dental caries Dental disease Dental infection Dental pain Ear pain Eye injury External otitis Facial swelling Hordeolum Iritis Laryngitis Odontalgia Otalgia Otitis media/externa
Diagnosis P-V
Pain in/around eye Parotiditis Parotitis Parotid swelling periorbital contusion Pharyngitis Ruptured globe Sinus congestion Sinusitis Sore throat Strep throat Sub conjunctival bleed Superficial injury of eyelids Tooth infection Toothache URI Viral illness