HEENT and Respiratory - King year II: SRS Flashcards
What are some key things to look at when inspecting the head and face?
–Shape of head and face
•Congenital abnormalities
–Hair pattern and texture
•Thyroid dysfunction
–Head motion (tremors and tics)
•Neurologic disorders
–Expression of the face
•Psychological disorders
–Movements of the forehead, eyes, and mouth
•Neurologic disorders
–Edema, puffiness or localized swelling
•Heart failure, infection
–Prominent features
•Congenital abnormalities
–Hirsutism
•Endocrine disorders
What does this kid have?
How do you know?
Mild microcephaly and a bullet shaped head points to fetal alcohol syndrome.
What genetic issue does this patient have?
Fragile X syndrome, as evidenced by the broad nasal bridge
What does this kid have? How do you know?
Hurler syndrome
Note the low nasal bridge and frontal prominence
What does this kid have? How do you know?
Treacher Collins syndrome
- •Downward slanting of the palpebral fissures
- •Low set ears
- •Micrognathia
What is wrong with this man?
How do you know?
Acromegaly
- Elongated head
- Coarsened facial features
- Bony overgrowth of forehead, nose and lower jaw
What does this lady have? How can you tell?
Cushing’s disease
- “Moon” face
- Reddened cheeks
- Hirsuitism
What does this picture show?
- Puffiness of the face
- Thinning and coarsening of the eyebrows and hair
What should you scrutinize on inspection of the ear?
–Auricle for redness, lesions
–Canal
•Discharge, foreign bodies, redness, swelling
–Tympanic membrane
•Color and contour
What should you palpate for on the ear?
–Auricle for masses or tenderness
What should you use to judge if ear height is correct/normal?
Top of the auricle should touch or be above an imaginary line between the inner canthus of the eye and the most prominent protuberance of the occiput.
