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N211F > head, eye, nose, mouth > Flashcards

head, eye, nose, mouth Flashcards

1
Q

Head inspection normal finding

A

size, shape varies
but normally round, symmetrical & no lesion

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2
Q

Head inspection abnormal finding

A

Acromegaly: large skull & facial bone
Microcephaly: abnormally small head

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3
Q

face inspection normal finding

A

symmetrical, no abnormal movement
wrinkles: loss of sucutaneous as aging

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4
Q

face inspection abnormal finding

A

weakness on one side together with hemi-paralysis: stroke
masked face: parkinson’s disease

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5
Q

Neck inspection normal finding

A

symmetrical, head centered, no bulging

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6
Q

neck inspection abnormal finding

A

enlarged masses, swelling: thyroid enlargement

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7
Q

movement of thyroid test for inspection

A

ask patient to take a sip of water

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8
Q

movement of thyroid inspection normal finding

A

cartilage & thyroid ove upward & symmetrically when swallowing

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9
Q

movement of thyroid inspection abnormal finding

A

asymmetrical/ enlargement of thyroid

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10
Q

neck’s range of motion inspection normal finding

A

controlled & smooth & normal range of motion

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11
Q

neck’s range of motion inspection abnormal finding

A

stiffness, ridigity, reduced range of motion: neck msucle spasm, inflammation
elderly: due to arthritis, decreased flexion, extension, bending, rotation

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12
Q

Cervical Vertebra (C7) inspection normal finding

A

visible & palpable

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13
Q

cervical vertebra (C7) inspection abnormal finding

A

increased curvature: kyphosis
reduced curvature: due to fat accumulation in cervical vertebra

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14
Q

Head palpation normal finding

A

hard, smooth, no lesion

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15
Q

Head palpation abnormal finding

A

lesion lump: trauma

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16
Q

temporal artery palpation normal finding

A

non-tender, elastic

17
Q

temporal artery palpation abnormal finding

A

tender, hard, thick: inflammation, temporal arteritis

18
Q

trachea palpation normal finding

A

midline

19
Q

trachea palpation abnormal finding

A

shift to affected side: atelectasis
shift to unaffected side: pneumonthorax

20
Q

lymph node palpation normal finding

A

soft, round, <1cm not palpable, mobile

21
Q

lymph node palpation abnormal fnding

A

tender, >1cm: enlargement & inflammation
fixed, delmitation

22
Q

eyeballs edge of eyelid & position inspection abnormal finding

A

ptosis (drooping of eyelid)
proptosis (protrusion of eyeball)
hyperthyroidism

23
Q

eyeballs edge of eyelid & position inspection normal finding

A

no sclera is seen above/ below iris
upper (lower) eyelid lie the uppper (lower) part of iris & pupil

24
Q

Ability to close eye inspection abnormal finding

A

unable to cloes: CN III damage/ swelling > risk of cornea damage

25
Q

ability to close eyes inspection normal finding

A

upper & lower eyelid should close easily & met completely

26
Q

Eyelid inspection:

A

swelling, lesion, turning, discharge, colour

27
Q

eyelid inspection: normal finding

A

no inversion/ eversion, no swelling, normal discharge of tears to keep eyes moist

28
Q

eyelid inspection abnormal inspection

A

lower eyelid inverted: cause cornea & conjunctiva injury & inflammation
Everted lower eyelid: cause drying exposure of conjunctiva, lead to increase tear dischage
swelling & redness & discharge: inflammation

29
Q

eyeball inspection normal finding

A

symmetrical aligned

30
Q

eyeball inspection abnormal finding

A

sunken eye
protrusion of eye
misalignment of eyeball

31
Q

conjuntiva & sclera inspection abnormal finding

A

yellow sclera: jaundance
bright red sclera: subconjunctival hemorhage
generalized redness in conjunctiva: conjunctivitis

32
Q

conjuntiva & sclera inspection normal finding

A

sclera: white, smooth
Conjunctiva: clear, moist, with tiny vessels

N211F (14 decks)

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