HEENT Flashcards
Headache that is severe and sudden onset, consider
subarachnoid hemorrhage or meningitis
New and persisting, progressively severe headaches raise concerns of
tumor, abcess, or mass lesion
Flashing lights or new vitreous floaters of the eye suggest:
detachment of vitreous from retina
People with this hearing loss have trouble understanding speech, often complaining that others mumble, and noisy environments make hearing worse.
sensorineural
This hearing loss may be helped by a noisy environment
conductive
Pain that occurs in the external canal of the ear main indicate:
otitis externa
Pain that occurs in the inner ear and is usually accompanied by respiratory infection:
Otitis media
Unusually soft wax, debris from inflammation or rash in the ear canal, or discharge through a perforated eardrum is present in:
acute or chronic otitis media
tinnitus in associating with hearing loss and vertigo is indicative of:
Meniere’s disease
sensation of true rotational movement of the patient or surroundings is:
vertigo
feeling light headed, weak in the legs, or about to faint is:
presyncope
Presyncope is associated with:
arrhythmia, ortho hypo, vasovagal stimulation
URI symptoms that last greater than 7 days, purulent drainage, and facial pain
Acute Bacterial Sinusitis
Nasal stuffiness could be caused by
oral contraceptives, reserpine, alcohol, cocaine
Hoarseness lasts more than 2 weeks, you should
refer to ENT
This commonly occompanies pharyngitis
enlarged tender lymph nodes
intolerance to cold, preference for warm clothing and many blankets, and decreased sweating suggests
hypothyroid
intolerance to heat, palpitations, and involuntary weight loss suggests
hyperthyroid
Cranial nerve III
oculomotor
impaired far vision
myopia
vision that is 20/200 means
the patient at 20 feet can read print that a normal person can read at 200 feet
impaired near vision
presbyopia
In the US, a person is considered legally blind when vision in the better eye, corrected by glasses, is
20/200 or less
red inflamed lid margins, often with crusting:
blepharitis
contraindications for mydriatic drops include:
suspicion of narrow angle glaucoma and head injury in coma
hearing disorders of the external and middle ear cause:
conductive loss
disorders of the inner ear cause
sesorineural loss
movement of the auricle and tragus is painful, and presents with a canal that is swollen, narrowed, pale, and tender. That also may be reddened.
acute otitis externa
tenderness behind the ear may be present, with a red buldging drum
otitis media
similar to acute otitits media, but skin of the canal is thickened, red, and itchy
chronic otitis media
using a tuning fork, sound is heard in (lateralized to) the impaired ear
conductive loss
using a tunning fork, sound is heard in the good ear
unilateral sensorineural hearing loss
local tenderness, together with pain, fever, and nasal discharge found when palpating frontal sinuses/maxillary sinuses suggests
Acute sinusitis
a benign midline lump of the roof of the mouth
torus palatinus
any persistent nodule or ulcer, red or white, found on the tongue is suspect and could represent
tongue CA
enlargement of a supraclavicular node, especially on the left, suggests
metastasis from a thoracic or abd malignancy
tender nodes suggest?
hard/fixed nodes suggest?
inflammation
malignancy
a clinician should describe enlarged nodes how
in two dimensions, length and width
