HEENT Flashcards

1
Q

What should be observed during general inspection of the head?

A

Head shape, symmetry, size, and any birth-related deformities.

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2
Q

What is craniosynostosis?

A

Premature closure of sutures leading to abnormal skull shapes.

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3
Q

What is scaphocephaly?

A

Narrow, elongated head from sagittal suture closure.

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4
Q

What is brachycephaly?

A

Broad, short skull from coronal suture closure.

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5
Q

What is plagiocephaly?

A

Asymmetric skull due to unilateral suture closure.

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6
Q

What does a bulging anterior fontanel indicate?

A

Increased intracranial pressure (hydrocephalus, infection).

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7
Q

What does a sunken anterior fontanel indicate?

A

Dehydration.

(late sign)

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8
Q

What is craniotabes?

A

Soft skull bones that may be normal but can be linked to rickets, syphilis, or osteogenesis imperfecta.

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9
Q

What is caput succedaneum?

A

Soft tissue swelling from labor that crosses suture lines and resolves in days.

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10
Q

What is cephalohematoma?

A

Blood accumulation under the periosteum that does not cross sutures and takes weeks to resolve.

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11
Q

What is subgaleal hemorrhage?

A

Severe bleeding in scalp layers that can lead to hypovolemic shock if untreated.

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12
Q

What should be examined during an eye examination?

A

Eye position, shape, size, symmetry, and movements.

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13
Q

What does hypertelorism indicate?

A

Widely spaced eyes that may suggest genetic syndromes.

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14
Q

What are Brushfield spots?

A

White specks on the iris associated with Down syndrome.

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15
Q

What does the absence of the red reflex suggest?

A

Cataracts, glaucoma, or retinoblastoma.

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16
Q

What is coloboma?

A

Keyhole-shaped iris that may be isolated or part of syndromic conditions.

17
Q

What is strabismus?

A

Crossed eyes that may be normal in newborns but require evaluation if persistent.

18
Q

What does the sunset sign indicate?

A

Downward gaze with sclera above iris linked to hydrocephalus.

19
Q

What should be assessed in external ear inspection?

A

Shape, symmetry, position, and malformations.

20
Q

What do low-set ears indicate?

A

Chromosomal anomalies (e.g., Down syndrome, Trisomy 18).

21
Q

What is the recommendation regarding newborn hearing screening?

A

Universal newborn hearing screening is recommended.

22
Q

What does nasal flaring indicate?

A

Respiratory distress.

23
Q

What is choanal atresia?

A

Nasal passage obstruction presenting with cyanosis at rest that improves with crying.

24
Q

What are common oral abnormalities in newborns?

A
  • Cleft lip/palate
  • Micrognathia
  • Macroglossia
  • Ankyloglossia
25
Q

What is micrognathia?

A

Small jaw seen in Pierre Robin sequence and syndromes like Treacher Collins.

26
Q

What is macroglossia associated with?

A

Beckwith-Wiedemann syndrome and hypothyroidism.

27
Q

What does torticollis indicate?

A

Tight sternocleidomastoid muscle that can be congenital or due to birth trauma.

28
Q

What does cystic hygroma suggest?

A

Lymphatic malformation.

29
Q

What are signs of clavicle fractures from birth trauma?

A

Crepitus and asymmetry.