HEENT Flashcards

1
Q

mnemonic for eval of adults of acute pharyngitis for the likelihood of bacterial infection vs viral

A

C.E.N.T.O.R.
- cough absent +1
- exudate or enlarged tonsils +1
- nodes (swollen or tender cervical nodes) +1
- temp >100.4F +1
- OR: < 15 yrs old +1 pt, 15-44 is 0 pts and >44 is -1 pt

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2
Q

acute onset severe eye pain
photophobia
tearing
blurred vision in 1 eye

A

keratitis (inflammation of cornea affecting visual acuity)

send to ED!

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3
Q

keratitis can lead to

A

permanently damage corneal epithelium to corneal blindness

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4
Q

major risk factor for keratitis:

A

contact lens
can be from trauma, poor lens hygiene

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5
Q

dendritic fern like lines in corneal surface

A

herpes keratitis

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6
Q

elderly pt with acute onset severe eye pain with headache
-nausea/vomiting
-halos around lights
-cornea cloudy
-decreased vision

A

acute narrow angle closure glaucoma

SEND TO ED

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7
Q

young adult with new loss of vision in 1 eye alone or with nystagmus or other abnormal eye movements
-neuro sx’s (aphasia, paresthesia, abnormal gait)
-c/o daily fatigue worsening throughout the day
-recurrent episodes

A

optic neuritis a/s with multiple sclerosis

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8
Q

sudden onset of floaters
looking thru a curtain sensation
sudden flashes of light

A

retinal detachment
refer to ED

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