HEENT Exam - Findings and Significance Flashcards by Jennifer Lensraf | Brainscape

Q

AC twice as long as BC

A

normal

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Q

AC/BC are both decreased in one ear

A

Nerve conduction disease

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Q

BC > AC with Rinne test

A

Serous otitis media

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Q

Bilateral dilated pupils

A

Cocaine, barbiturate or amphetamine abuse

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Q

Bilateral pinpoint pupils

A

Heroin use

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Q

Bilateral swollen optic discs (papilledema)

A

Raised intracranial pressure; brain tumor

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Q

Blue sclera in infant with many fractures

A

Osteogensis imperfecta

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Q

Blurred margins of macula or pigmentation

A

Macular degeneration

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Q

Copper or silver wiring of retinal arterioles

A

Hypertensive retinopathy

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Q

Cupped optic disc

A

Chronic glaucoma

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Q

Enlarged tongue (macroglossia)

A

Hypothyroidism in infants

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Q

exophthalmos

A

Hyperthyroidism or orbital tumor

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Q

Flame hemorrhages and dots (microaneurysms)

A

Diabetic retinopathy

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Q

Foul purulent unilateral nasal discharge

A

Sinusitis or foreign body in nose

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Q

Goiter with brittle dry course hair

A

myxedema (hypothyroidism)

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Q

Goiter with exophthalmos or tachycardia

A

Graves disease

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Q

Gray ring around cornea (arcus senilis)

A

hyperlipidemia

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Q

Hears better in one ear with Weber test

A

Problem with one of the ears

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Q

Large head in child with open fontanelles

A

hydrocephalus

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Q

Lid lag

A

hyperthyroidism

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Q

Loss of red pupil light reflex

A

Cataract or neuroblastoma

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Q

Loss of outer third of eyebrow

A

hypothyroidism or leprosy

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Q

Midline neck mass moves with tongue

A

thyroglossal cyst

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Q

Midline bony mass in the hard palate

A

Torus palatinus

Q

Mucopurulent discharge from ear

A

Otitis media

Q

Nasal septum perforation

A

Cocaine abuse

Q

Pale conjunctiva

A

anemia

Q

Periorbital edema

A

cellulitis, cavernous sinus thrombosis

Q

Painful boil on the margin of the eyelid

A

External style (hordeolum)

Q

Painful red eye with purulent discharge

A

conjunctivitis

Q

Painful eye with circumcorneal redness

A

iritis

Q

Painful red eye with tense eyeball

A

Acute glaucoma

Q

Painless boil on the inside of an eyelid

A

Internal style (chalazion)

Q

Pain on pulling the ear up and backwards

A

Otitis externa

Q

Pale swollen bluish nasal mucosae

A

Chronic allergies

Q

Ptosis: bilateral

A

Myasthenia gravis, Lambert Eaton syndrome

Q

Ptosis: unilateral

A

Horner’s syndrome

Q

Puffy eyelids, especially in the mornings.

A

Renal dysfunction

Q

Pupil accommodates but does not react to light

A

Argyll Robertson pupil (tertiary syphilis)

Q

Pupil is dilated and reacts poorly to light

A

Adie’s pupil

Q

Pupil is small and constricted (miosis)

A

Horner’s syndrome

Q

Red bulging tympanic membrane

A

Otitis media

Q

Retracted tympanic membrane

A

Eustachian tube blockage

Q

Scales on eyebrows

A

seborrheic dermatitis

Q

Swollen itching eyelids

A

blepharitis

Q

Tophus on helix of ear

A

Chronic gout

Q

Tongue- beef red color

A

Vitamin B12 deficiency

Q

Tongue - magenta color

A

Riboflavin deficiency

Q

Tongue - pale

A

Iron deficiency

Q

Triangular fleshy growth in medial side of sclera

A

Pterygium

Q

Turned in eyelids

A

entropion

Q

Turned out eyelids

A

ectropion

Q

Unilateral swollen tonsil with severe sore throat

A

Peritonsillar abscess

Q

Yellow thickening of the bulbar conjunctiva

A

Pinguecula

Q

Vertigo with healing loss and tinnitus

A

Meniere’s disease

Q

Xerophthalmia

A

Vitamin A deficiency

Q

Yellow sclera

A

Jaundice (icterus) or carotenemia

Q

Yellow plaque in upper medial eyelid

A

Xanthelasma (hyperlipidemia)