head, ears, eyes, nose, throat Flashcards

1
Q

size of thyroid or presence of nodules does not…

A

reveal anything about thyroid function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

HEENT should be assessed as…

A

one system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the presence of an endocrine disorder…

A

is a risk for another endocrine disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

knowing lymphatic drainage patterns help to…

A

determine an underlying problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

sudden onset neck or jaw pain…

A

should be treated as cardiac until proven otherwise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

subjective data of the eye

A

pain is never normal
trauma
vision change, acuity, field of vision
vision difficulty
eye discharge
strabismus/diplopia/amblyopia
redness, swelling
use of corrective devices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

inspection of the eyes

A

eyelids and lashes
eyeballs
conjunctiva and sclera
cornea and lens
iris and pupils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

conjunctivae inspection

A

inspect lower portion by pulling down the lower lid
upper lid is inspected only if the foreign body is in the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

triangular thickening of the conjunctiva is called

A

pterygium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what should you look for when inspecting the conjunctiva

A

color, lesions, exudate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

inspection of the cornea

A

examine clarity by shining a light
test sensitivity by touching with a cotton whisp
inspect for arcus senilis in elderly patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

iris and pupil inspection

A

inspect iris for pattern, color, shape
test for direct and consensual response to light
test pupils for accommodation to near and far

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

testing for visual acuity

A

test for far vision with each eye individually
always note presence of corrective lenses or contacts
normal vision is 20/20
near vision test with Jaeger card

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

vision scale (what does 20/20 stand for)

A

top number is distance in feet patient is standing from chart
bottom number is distance at which a normal person can read the line on the chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

visual fields

A

screened by confrontation testing extraocular muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if one eye does not move with the other…

A

consider extra ocular muscle weakness or cranial nerve dysfunction

17
Q

ear subjective data

A

pain
discharge
hearing loss
dizziness/vertigo
tinnitus

18
Q

tympanic membrane

A

eardrum, inspect with otoscope

19
Q

nose subjective data

A

discharge
frequent cold symptoms
sinus pain
trauma
epistaxis
allergies
altered smell

20
Q

mouth and throat subjective data

A

sores or lesions
sore throat
bleeding gums
toothache
hoarseness
dysphagia
altered taste

21
Q

function of the nose and sinuses

A

odor identification
passage of inspired and expired air
humidification, filtration, and warmth of inspired air
resonance of laryngeal sounds

22
Q

head and neck subjective data

A

headache
head injury
dizziness
neck pain
limitation in ROM
lumps or edema

23
Q

TMJ

A

temporomandibular dysfunction

24
Q

cervical lymph nodes

A

pre-auricular
post auricular
occipital
tonsilar
submandibular
submental
anterior cervical
posterior cervical
supraclavicular

25
Q

thyroid

A

midline structure in neck consisting of isthmus and two lobes
moves up and down with swallowing
frequently not palpable

26
Q

thyroid exam

A

requires a light touch

27
Q

HEENT red flags(11)

A
  • drainage from ears (possible TM rupture or skull fracture)
  • cellulitis around eyes (could spread to meninges)
  • eye pain
  • hyphema (blood in anterior chamber of eye)
  • restricted ability to open mouth (trismus or tonsilar abscess)
  • swallowing difficulty (possible abscess)
  • foreign body in nose, or ear canal
  • sudden vision loss
  • persistent, hard, non tender, immovable lymph node
  • palpable supraclavicular node
  • lump on thyroid
28
Q

common diagnostic tests

A
  • eye exam by optometrist or opthalmologist
  • audiogram
  • tympanogram (TM rupture)
  • rapid strep test
  • throat culture
  • ultrasound/CT/MRI of neck structures
  • TSH, T4, T3 evaluate the function of thyroid
29
Q

common ear abnormalities

A

middle ear effusion(fluid)
perforated TM
pressure equalization tubes
acute otitis media (ear infection)

30
Q

common mouth/oropharynx abnormalities

A

tonsilitis with exudate
pharyngitis

31
Q

oral cavity abnormalities

A

leukoplakia, oral cancer, oral candidiasis (thrush)
aphthous ulcer
fissured geographic tongue

32
Q

external eye abnormalities

A

entropion
ectropion
conjuctivitis
exopthalmos

33
Q

strabismus

A

both eyes do not focus on an object simultaneously (EOM)

34
Q

neck abnormalities

A

cervical adenitis, goiter