HEENT Flashcards
As you are evaluating hair and scalp you are noting the skull– there are many ? most of us have some bumps & craters
Normal Variants or Abnormal Varients
Normal
? –tenderness,
? –TMJ tenderness, crepitation
Temperomandibular joint
Temporal artery
Temporal artery
Temperomandibular joint
Eye
?– distance between the lid margin
? – white area
Conjunctiva covers sclera:
? conjunctiva lines the lids
? conjunctiva lies over the sclera
Palpebral, Sclera, Bulbar, Palpebral Fissure
Palpebral fissure
Sclera
Palpebral
Bulbar
Eye ? (over iris and pupil) ? Apparatus ? (red reflex) ? – filled w/ aqueous & gelatinous material
Ocular Fundas, Eyeball, Cornea, Lacrimal
Cornea
Lacrimal
Ocular fundus
Eyeball
Eye muscle
? Muscles moves the eye. C N III, IV & VI
? Muscles moves the iris. C N II
Intrinsic , Extrinsic
Extrinsic
Intrinsic
Diagnostic Positions Test (muscle strength & union)
PERRLA or EOMs
EOMs
? light reflection (penlight or light from room)
? light reflex (dilate / constrict)
Pupillary
Corneal
Corneal
Pupillary
PERRLA
Meaning
Pupils Equal Round Reactive to Light & Accommodation
One eye at a time &
Then both eyes
With glasses (in lab)
Visual Fields or Acuity
V Acuity
Both Visual Acuity have what Cranial Nerve?
IV, II, III
CN II
Snellen Chart?
Visual Fields or Acuity
Acuity
Gross peripheral vision test
Assumes examiner has normal vision
Examiner and client with equal viewing planes
Visual Fields or Acuity
V Fields
EOMs (Extra Ocular Movement)
Demonstate is slowly
H shape or X with -
This exam checks for red reflex and is rest of retina needed?
EOMs or Ophthalmoscope exam
Yes or No
Ophthalmoscope exam
No
Ear
Inspect?
Palpate?
Tragus, Pinna, External Ear, Mastoid process
In- external ear Pap- Tragus Pinna M Process
What the Ascoustic Nerve
What test?
CN II, VII, VIII
Weber or Whisper test
VIII
Whisper test
This is typically done if suspect hearing loss
Weber, Whisper or Rinne test
Weber
Rinne
Ask patient to tell you which side they hear louder vibration
Normal: Equally loud
Abnormal: “?” Sound heard better in good ear which test?
BilLateralization or Lateralization
Rinnie or Weber
Lateralization
Weber
AC=? conduction
BC=? conduction
?>?
Bone or Air
Air
Bone
AC>BC
Nose
- Inspect with ? Eye or Light
- Discharge- unilateral or bilateral or both
- Epistasis is internal bleeding or nose bleeding
- External nose only inspect?
- Do you inspect Sinus area-frontal/maxilary?
Light Both N Bleeding Both Palpate and Inspect Palpate
Inspect Nasal Cavity– SCOPE or OTOSCOPE
OTOSCOPE
The following are inspected but whats palpated Lips Teeth & Gums Buccal mucosa Tongue Palate Tonsils
Tongue
Buccal mucosa
Palate
- Inspect throat always use eye or light?
- Once patient says Ah watch ? upward Midline
Tongue or Uvula
?= behind pillars or absent
? normal
? almost touching (?%)
2+, 4+, 0, 75
Light Uvula 0 2+ 4+ 75
