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Physical Diagnosis 1 > HEENT Abnormal Liza > Flashcards

HEENT Abnormal Liza Flashcards

0
Q

abnormal head, scalp, hair

A

Alopecia
Psoriasis
Tinea capitis

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1
Q

dandruff

A

seborrheic dermatitis

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2
Q

fungal infection of scalp
“scalp dematophytosis”
Kerion (raised boggy 2ndarily infected fungal lesion of hair

A

tinea capitis

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3
Q

abnormal face

A

Acromegaly
Down SYndrome (Trisomy 21)
Bell’s palsy

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4
Q

excessive grown hormone

large hands, feet, facial bones

A

acromegaly

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5
Q

idiopathic facial nerve paralysis (CN VII) - can’t close eye
flattened nasolabial fold
oral steroid and or antivial agent

A

Bell’s palsy

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6
Q

strabismus

A

deviation of eyes form normally conjugate position

  1. nonparalytic - imbalance of extraocular muscle tone
  2. paralytic - weakness or paralysis of one or more extraocular m’s
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7
Q

Bell’s palsy

A

idiopathic facial nerve paralysis (CN VII) - can’t close eye
flattened nasolabial fold
oral steroid and or antivial agent

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8
Q

esotropia

A

nonparalytic strabismus:

eye moves INWARD

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9
Q

exotropia

A

nonparalytic strabismus

eye moves OUTWARD

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10
Q

eye moves inward

A

esotropia

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11
Q

eye moves outward

A

EXOtropia

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12
Q

Left 3rd nerve paralysis (paralytic strabismus)

A

dilated pupil, fixed to light and near effort?

Ptosis (droopy eye lid) of upper lid, lateral deviation of eye

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13
Q

Left 4th nerve paralysis

A

Left eye can’t look down when turned inward

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14
Q

Left 6th nerve paralysis

A

Lateral Rectus 6
When left eye is affected:
- looking to R: eye are conjugate
- when looking straight ahead, ESOtopia appears: eye remains in medial position
- looking to L: ESOtropia is maximum: affected eye remains in the straight position (instead of lateral)

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15
Q

Near reaction

A

have pt focus on an object appx 10-12 cm away then focus on object >6 feet away
- watch for pupillary constriction with near effort (?), and dilation with distance.

16
Q

Horner’s syndrome

A

1) Ptosis (droopy eye lid) 2) Miosis (pupil constricts) 3) Anhidrosis (right side) (absent sweating on affected side)

Anisocoria = unequal pupil size >0.5 mm
Normal brisk reactivity
Sympathetic nerve dysfunction

17
Q

Anhidrosis

A

absent sweating on affected side ???

18
Q

Anisocoria

A

unequal pupil size

19
Q

Tonic (Adie’s) pupil

A
  • reduced reaction to light, mydriasis (dilation)
  • slowed near reaction
  • impaired parasympathetic fx
20
Q

Chalazion

A

Meibomian gland inflammation; points inward?

21
Q

Hordeolum (stye)

A

Temder, red infection near hair follicle of eyelashes.

Like pimple or boil pointing on eyelid

22
Q

Entropion

A

Lid inversion

23
Q

Ectropion

A

Lid eversion

24
Q

Dacryocystitis

A

lacrimal sac inflammation

25
Q

Pingueculum

A

Yellow nodule on bulbar conjunctiva (over eye ball),

on either side of the iris

26
Q

Pterygium

A

Medial sclera - extends from inner canthus to cornea

27
Q

Scleral Icterus

A

High bilirubin

Jaundiced skin

28
Q

Episcleritis

A

Engorged, radially oriented vessels and a nodule adjacent to the limbus

29
Q

Uveitis (iritis or iridocyclitis)

A

Pupil is constricted, irregular and pporly reactive to light
Conjunctival hyperemia adjacent to limbus + hypopyon

Limbus = junction of sclera and cornea
Hypopyon = pus in the anterior chamber, behind cornea but anterior to the iris
30
Q

Hyphema

A

bleeding in anterior chamber

31
Q

corneal abrasion

A

with fluorescein staining

32
Q

cataract

A

clouding of the lens of the eye (internet)

33
Q

Which nerve is involved in Horner Syndrome?

A

Sympathetic n

34
Q

What causes Horner syndrome

A

Lung cancer

35
Q

Reduced parasympathetic fx causes

A

Tonic Adie’s pupil

36
Q

Which nerve is responsible for gag reflex, swallowing/uvula vs tongue movement?

A 
CN IX and X (Glossopharyngeal and Vagus): gag/uvula (say "Ah")
CN XII (hypoglossal) : tongue protruding and side to side

Physical Diagnosis 1 (19 decks)

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