HEENT History Flashcards
If patient has history of headaches, what type of history would you ask about?
Thorough history on start, length, location
Types of headaches
Primary - without underlying disease
Secondary - with underlying disease
Types of secondary headaches
Structural, systemic, or infectious cause
Meningitis, subarachnoid hemorrhage, lesion
Dizziness - questions to ask
Does it interfere with ADL, does the room spin or do you spin (vertigo), differentiate between lightheaded ness
Orthostatic hypotension
Stand up & become dizzy
Feels like the room is spinning but you are standing still
Vertigo
Main cause of dizziness
Vertigo
Main cause of vertigo
Peripheral vestibular dysfunction
Feeling faint or light-headed
Pre-syncope
Causes of pre-syncope
Orthostatic hypotension, arrhythmias, vasovagal attack
Causes of disequilibrium
Fear of falling, visual loss, MSK weakness, peripheral neuropathy
What is another word for unsteadiness?
Disequilibrium
Topics to discuss for children and infants
Mother alcohol or drug use
Delivery vaginal or C/S, any difficulty, forcep use
Baby’s growth - fontanels and head grow on schedule
Why would you inquire about the mode of delivery/complications regarding a baby’s head?
Forceps could affect the sinuses in a baby, cause a hematoma
What is wrong with a baby that has sunken in fontanels?
Dehydration
Flattened appearance on baby’s head
Plagiocephaly
How can you determine if a baby is put “back to sleep”?
Plagiocephaly on the back of the head
What is the treatment for severe plagiocephaly
Helmet
Why is dizziness a big risk factor for elderly?
Falls
Why is a history of neck pain concerning in elder adults?
Driving, sleep disturbances which lead to poor quality of life
Why is it important to palpate the scalp?
Skin cancer lesions
Why do we care about the hair texture?
Nutritional status, metabolic status, alopecia
Acromegaly
Large features
Cushing syndrome
Red cheeks, hirsutism, moon face
Hyperthyroidism
Eyes are bulging, lid lag
Parkinson’s Disease
Masked face, unable to show expressions
Nephrotic syndrome
Facial edema, kidneys are not working
History of UTI would go where?
Past medical history. NOT review of systems
