Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

HEENT > HEENT > Flashcards

HEENT Flashcards

1
Q

Blepharitis

A

inflammation of the eyelids, causing itching and crusting of the lash line and is usually bilateral

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

“*Is bilateral and not painful & has no associated photophobia
The lids are inflammed and scaling of the lid margins is seen. Loss of eyelashes occurs late. Visual Acuity is unimpaired”

A

Blepharitis

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

Allergic Conjunctivitis

A

Chronic & Seasonal hypersensitivity to a specific allergen; bilateral, itchy & painless

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

*Ropy, mucoid discharge. The palpebral conjunctiva has a cobblestone appearance & Visual Acuity is unaffected

A

Allergic Conjunctivitis

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

Bacterial: S. Aureus, S. pneumoniae, GAS, H. Influnzae, N. gonorrhea often are causitive agents

A

Onset is gradual, begins unilateral, reports feeling scratchy feeling vs. pain, no photophobia, *Purulent discharge, matted eyelids, visual acuity not affected, blurring of vision related to discharge

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

Viral: adenovirus, picornavirus, rhinovirus, herpes virus

A

usually concurrent with URI

*Watery discharge with follicular changes to palpebral conjunctiva

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

Chalazion:

A

Hx: Unilateral, chronic, painless
“May be unable to differentiate between chalazion & stye on assessment. Differential: Painless
Red or gray mass on the inner aspect of the lid.
The eye may be itchy and red”

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

Hordeolum (STY):

A

“Hx: Swelling of the eyelid with localized lid pain
Unilateral with pain”“Swelling of the eyelid; indurated lesion with central pus and surrounding erythema
***will spontaneously drain on its own in 1-2 weeks
Findings: Develops acutely and is palpable along the lid margin with a purulen center and surrounding erythema”

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

Sensorineural

A

Weber: lateral to good ear
Rinne: AC >BC
Accuse others of mumbling
Noise worsens

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

Conductive

A

Weber: Lateralize to impaired ear
RInne: BC > AC
Noise makes it better

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

Otitis Externa

A

Hx: Bilateral itching and pain
“Findings: Movement of the pinna elicits pain
Discharge, inflammed and swollen external canal
TM normal or not visible”

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

Otitis Media

A

Hx: Unilateral Pain,severe or deep pain,sensation of fullness
Findings: Red bulging TM, fever, decreased light reflex, Opaque TM, decreased TM mobility

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

Otitis serous with Effusion

A

Hx: Unilateral pain, sensation of crackling or decreased hearing
Findings: Fluid line or air observed behind TM, conductive hearing loss, decreased TM movement

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

Pharyngitis

A

“The patient reports a sore throat, in children, a fever may be precede throat complaints by 1-2 days.

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

Viral Pharyngitis

A

Hx: Scratchy, sore throat, malaise, myalgias, headache, chills, cough, rhinitis
Findings: Erythema, edema of throat, tender posterior cervical nodes

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

Bacterial Pharyngitis

A

Hx: sudden onset of fever, severe sore throat, malaise, absence of cough or URI
Findings: Fever > 101.5, exudate, anterior cervical lymphadenopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Fungal Pharyngitis

A

“Findings: White plaques over tongue, and oral mucosa with erythema, plaques bleed when scraped.
Curdlike white plaques that bleed when scraped off”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Sinusitis

A

Hx: Frontal headache that worsens with forward movement, sore throat and cough from post nasal discharge,
Findings: Tender on percussion, or do not transilluminate, purulent nasal discharge. Posterior pharynx with redness due to postnasal drippings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Aphthous Ulcers:

A

“Findings: Ulcers are located on inner lip, tongue, buccal mucosa and last about 1 - 2 weeks, Discrete and appear without a preceding vesicle.
Shallow, no vesicles, indurated with yellow membrane, red halo, no fever or nodes”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Herpes Simplex:

A

Findings: Perioral lesions, lymphadenitis, vesicles on palate, pharynx, gingiva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Allergic Rhinitis:

A

Findings: Pale, boggy mucosa, rhinorrhea with clear, watery mucus. Mucosa may be pale, bluish or red

22
Q

Laryngitis:

A

Findings: Larynx redness, edema of vocal cords, lymphadenopathy, pharyngitis,
Hx: Sore throat, loudness & quality of voice affected

23
Q

Croup

A

Findings: Barking cough, low grade fever, wheeze, hoarseness, edema of vocal chords, respiratory distress, hypoxia, stridor, nasal flaring, altered LOC

24
Q

Corneal Ulcers

A

Presents with pain, photophobia, diffuse ciliary injection, visual acuity is markedly decreased
Findings: Red eye, normal to impaired vision, pain, topical application of fluorscein to the cornea revealing ulcers should lead you to suspect HSV, can occur uni or bilateral,

25
Q

Dacrocystitis:

A

indicated by erythema, swelling, warmth, and/or tenderness of the lacrimal sac.
Swelling and redness around lacrimal sac, tearing, may hav pus through punctum,
Unilateral, acute onset, painful

26
Q

Lacrimal Obstruction:

A

Ask the patient to look up, Press on the lower lid close to the medial canthus, just inside the bony orbit, this compresses the lacrimal sac, for fluid regurgitation out of the puncta into the eye

27
Q

Peritonsillar Abscess

A

Hx: respiratory symptoms, difficulty swallowing, otalgia, malaise, fever, cervical lymphadenopathy

28
Q

“Findings: Trismus (asymettrical sweling of the uvula, tonsils, or posterior pharynx, or a visible abscess.
Children: Drooling, refusal to swallow, fever, toxic appearance, stridor. Children under 4 - immediate referral”

A

PERITONSILLAR ABSCESS

29
Q

TONSILLITIS

A

If no fever, exudate or enlargement of cervical lymphnodes, the chances of GAS or mono are small

30
Q

Sensitivity

A

People who are negative truly screen as negative

So when Sensitivity is High, this rules the person out when they are negative

31
Q

Specificity

A

People who are truly positive screen as positive, when the test screens them as positive, they will be positive (the higher the specificity)

32
Q

Unilateral Vision Loss & Painless

A

Possible: Macular degeneration

33
Q

Unilateral Vision Loss & Pain

A

Possible: Corneal Ulceration

34
Q

Bilateral Vision Loss & Painless

A

Possible meds: Anticholinergics

35
Q

Bilateral Vision Loss & Painful

A

Possible: Chemical Exposure?

36
Q

Gradual Vision Loss (Central)

A

Macular Degeneration (Possible)

37
Q

Peripheral Vision Loss

A

Glaucoma

38
Q

Unusually Soft Ear wax (debris from middle/inner ear inflammation)

A

OM

39
Q

Itchy Eyes with season

A

Favors: Allergic Rhinitis

40
Q

Bacterial Sinusitis

A

Unlikely until viral URI persist > 7 days.

Must have both Purulent drainage & facial pain

41
Q

Acute Hoarseness

A

acute viral laryngitis

42
Q

Chronic Hoarseness (greater than 2 weeks)

A

hypothyroid, reflux, cancers

43
Q

Pharyngitis

A

enlarged lymph nodes

44
Q

Presbyopia

A

impaired near vision (farsightedness) can see better farther away

45
Q

Proptosis

A

The rim of the sclera is viewed from the protrusion of the eyeball in hyperthyroidism

46
Q

Otitis Externa

A

canal is swollen, narrowed, moist, pale and tender

47
Q

Whisper test

A

90 - 100% sensitivity (when negative they are truly negative)

48
Q

Weber in conductive hearing loss (specificity)

A

When there is an impairment it is truly a good reliable indicator

49
Q

Rinne Test specificity

A

When there is an impairment it is quite reliable

50
Q

Viral Rhinitis

A

Mucosa is red and swollen

HEENT (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions