HEENT Flashcards

1
Q

Conductive Phase of Hearing

A

External ear through middle ear

Conductive loss: Cerumen (wax), Otitis External, squamous cell carcinoma, performation of eardrum, cholesteatoma

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2
Q

Sensorineural Phase of Hearing

A

Involves cochlea and cochlear nerve

Sensorineural loss: Viruses, drugs, trauma, Meneire’s disease, tumors

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3
Q

Paranasal Sinuses for Auscultation

A

Frontal and maxillary sinuses accessible to exam

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4
Q

Teeth

A

Adult: 32

Deciduous (children): 20

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5
Q

Visual Acuity

A

Snellen Eye Chart

distance of pt from chart / distance a normal eye can read line of letters

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6
Q

Visual fields

A

Tests peripheral vision

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7
Q

Extraocular Muscles

A

6 cardinal directions of gaze
looking for conjugate movement
Nystagmus: rhythmic oscillations of eyes
Test for convergence

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8
Q

Mallampati Class I

A

Full view of tonsils, uvula, and soft palate

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9
Q

Mallampati Class II

A

Hard and soft palates, upper portion of uvula and tonsils

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10
Q

Mallampati Class III

A

Hard and soft palates, base of uvula

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11
Q

Mallampati Class IV

A

Only hard palate

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12
Q

Thyromental Distance

A

Normal 6.5 - 6.0 cm

Indication of difficult DL:

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13
Q

Mouth Opening

A

Normal >/= 4 cm

Indication of difficult DL:

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14
Q

Cushing’s Syndrome Abnormal Face

A

“moon” face with red cheeks

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15
Q

Nephrotic Syndrom Abnormal Face

A

face is edematous and pale

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16
Q

Parotid Gland Enlargement

A

Swelling anterior to earlobes and above angle of jaw

17
Q

Acromegally

A

Head is elongated with enlargement of bones and soft tissue

18
Q

Parkinson’s Disease Abnormal Face

A

Stare and decreased facial mobility

19
Q

Ptosis

A

Drooping of upper lid (Myasthenia gravis, Horner’s syndrom)

20
Q

Exophthalmos

A

Protruding eyeball (Grave’s disease)

21
Q

Cataract

A

Opacities of the lenses

22
Q

Keloid

A

Ear Abnormality

Firm, nodular, hypertrophic mass of scar tissue

23
Q

Tophi

A

Ear Abnormality

uric acid deposits (gout)

24
Q

Peutz-Jeghers Syndrome

A

Small brown pigment spots in dermal layer of lips

25
Q

Hereditary Hemorrhagic Telangectasia

A

(Osler-Weber-Rendu syndrome)

small red spots on lips

26
Q

Thrush of Pharynx

A

Yeast infection forming whitish plaques from Candida

27
Q

Hairy Leukoplakia

A

Raised whitish areas affecting side of the tongue (HIV/AIDS)

Can’t be scraped off like with Candida