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Physical Diagnosis 1 > HEENT Normal Abnormal Liza > Flashcards

HEENT Normal Abnormal Liza Flashcards

0
Q

CN III, IV and VI

A

EOM extra ocular movement

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1
Q
  1. CN III, IV and VI (oculomotor, trochlea and abducent)
  2. CN VII
  3. CN V
  4. CN IX, X (glossopharyngeal and vagus)
  5. CN XII (hypoglossal)
  6. CN XI (accessory)
A
  1. EOM extra ocular movement (H test)
  2. Facial expression
  3. Mastication
  4. Swallowing
  5. Tongue
  6. Head and shoulder movement
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2
Q

EOM extra ocular movement

A

CN III, IV and VI

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3
Q

CN VII

A

Facial expression

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4
Q

CN V

A

Mastication/masseter m fx

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5
Q

CN IX and X

A

Swallowing

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6
Q

Swallowing

A

CN IX and X

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7
Q

CN XII

A

Tongue

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8
Q

Tongue

A

CN XII

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9
Q

Head and shoulder movement

A

CN XI

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10
Q

CN XI

A

Head and shoulder movement

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11
Q

Anatomy of head

A

maxilla, mandible, nasal bone, orbit, parietal bone, temporal bone
SUPERFICIAL TEMPORAL A.
Submandibular and parotid glands

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12
Q

Inspect external eyes: conjuctive, sclera, iris, cornea, lids

A

“I am inspecting the eyes for symmetry,
EXOPHTHALMOUS (eyes prodruding, hyperthyroid), PTOSIS (one eye lid shut/droopy), ICTERUS (jaundice, yellow),
edema and lesions”

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13
Q

Exophtalmos

A

eyes protruding (hyperthyroid)

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14
Q

eyes protruding (hyperthyroid)

A

exophthalmos

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15
Q

icterus

A

juandice, yellow

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16
Q

jaundice, yellow

A

icterus

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17
Q

droopy eye lid CN III

A

ptosis

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18
Q

mastication/ masseter m

A

CN V

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19
Q

eye anatomy

A

upper eyelid: tarsal plates and MEIBOMIAN glands
pupil, iris, cornea, sclera, lower eye lid
medial and lateral CANTHUS
BULBAR conjunctiva: covers anterior eyeball
Palpebral conjunctiva: covers inner eyelids
LIMBUS: bulbar conjunctiva merges with cornea

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20
Q

lacrimal apparatus

A

lacrimal gland
lacrimal sac: canaliculi (upper) and puncta (lower dot)
nasolacrimal duct

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21
Q

Ptosis vs incomplete closure

A

CN III droopy eyelid

vs CN VII

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22
Q

CN II (optic)

A

Visual acuity

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23
Q

Corneal light reflection test for

A

conjugate (parallel) gaze

shine light about 2 feet in front of pt

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24
mydriasis
dilation of pupil
25
miosis
constriction of pupil
27
Nystagmus
jerky eye movt at extremes of H exam
28
Fundoscopic anatomy
Fovea, macula, Optic disk (into optic nerve II) inside optic cup (cup:disk ratio 1:2 (C before D)) Anterior chamber, posterior chamber (around iris)
29
view macula by having the pt look
directly into light
30
elevated optic disc
with papilledema
31
ear anatomy
``` Helix, antihelix tragus, antitragus Lobule, ear canal (24 mm) CUREMEN tympanic membrane (TM) Malleus (short process, handle) UMBO: TM meet malleus ```
32
CN VIII
hearing | Palpate auricle, tragus and mastoid for tenderness
33
Otitis externa | Osteoma
pain with movement of auricle and tragus | benign, nontender, nodular swelling noted in EAC?
34
Anatomy of mouth and pharynx
lips, tongue, 32 teeth gingivae tonsils anterior/posterior pillars uvula part of soft palate (posterior pharynx) Under tongue: Whartons duct of submandibular/submaxillary gland Near upper 2nd molar: Stensens duct from Parotid gland
35
test CN XII (accessory) by
stick tongue out and move it from side to side
36
test for gag reflex
with tongue blade | CN IX and X (glossopharyngeal and vagus)
37
CN IX and X test for
gag reflex
38
Torus palatinus
benign midline mass in hard palate
39
anterior triangle of neck
mandible, sternocleidomastoid, midline neck
40
posterior triangle of neck
sternocleidomastoid, trapezius, clavicle
41
Anatomy of the neck
``` hyoid bone thyroid cartilage and gland cricoid cartilage TRACHEA Carotid artery, jugular vein ```
42
check CN XI (accessory) motor fx
lateral rotation of neck against resistance | shoulder shrugging against resistance
43
cervical lymph nodes
``` occipital post-auricular pre-auricular tonsillar submaxillary (submandibular) ``` submental anterior cervical - superficial and deep posterior cervical - superficial and deep supraclavicular
44
bruits or bruit
brew-eez or brew-ee (s) | sign of arterial obstruction
45
enlarged thyroid
goiter
46
head exam revisited
``` inspect: facial feature inspect and palpate hair, scalp and skull test facial muscle fx test facial sensation - light touch palpate facial bones/sinuses palpate TMJ, test ROM palpate masseter ```
47
eye exam revisited
``` examine external eyes test acuity assess depth of anterior chamber check corneal light "reflexion" direct and consensual pupillary reflexes EOMs with accomodation Ophthalmascopic (fundoscopic) exam ```
48
While I am washing my hands, I am inspecting for 11
general state of health, signs of distress, facial expression, posture, stature, build, sexual development, mental alertness, speech, GROOMING and hygiene, mobility
49
vital signs 6
height, weight, temperature | radial pulse, respirations, BP
50
skin, inspect
color, texture, temp and turgor | lesions for location, distribution, grouping, type and color
51
1. inspect facial feature
"head is normocephallic, face is symmetrical without lesions"
52
test facial muscle fx
CN VII | squeeze eyes shut, wrinkle forehead, smile, puff out cheeks
53
light touch
sensory CN V | forehead, cheeks, chin
54
palpate
facial bones, frontal and maxillary sinuses TMJ and ROM masseter (CN V, motor) hair, scalp and skull (symmetrical hair distribution, hair is thin/coarse, curly/straight with male pattern baldness"
56
Extra ocular muscles (EOM): Lateral Rectus LR Superior Oblique SO All others
CN VI abducent CN IV trochlear CN III
57
Stenson's duct
Parotid duct (near upper 2nd molar)
58
Wharton's duct
Submandibular gland (under tongue)
59
Canaliculi
upper part of lacrimal sac
60
Puncta
lower part of lacrimal sac
61
Upper part of lacrimal sac
Canaliculi
62
lower part of lacrimal sac
puncta
63
benign midline mass on hard palate
Torus palatinus
64
dandruff
seborrheic dermatitis
65
which nerve is responsible for taste?
CN VII
66
Which nerve is involved in gag reflex/uvula/swallowing vx tongue movement?
``` 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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