HENT - part two ppt Flashcards
Increased facial pain when bending over could indicate ___ sinuses.
maxillary
< 12 days = ___
> 12 days = ___
> 30 days = ___
URI
sinusitis/acute sinus inf
chronic sinus inf
___ symptoms include cough, fever, muscle aches and could indicate seasonal ___ or ___.
Acute, allergies, URI
___ symptoms include eye pain, bad breath, fatigue and could indicate chronic ___.
Chronic, sinusitis
Most likely ___ drng if sympt. btwn 3-10 days.
viral
Long-term use of nasal sprays or drops can cause nasal ___.
congestion
Meds like ___ or ___ can cause nasal congestion.
ACE’s, BB’s
CF, HIV, and leukemia are all systemic dis that can cause decreased ___ clearance and therefore nasal ___.
mucous, congestion
Typically want to visualize ___ out of ___ nasal turbinates. May not be seen in nasal ___.
2, 3, congestion
Chronic sinusitis pt’s don’t typically run ___.
fevers
Can r/o sinusitis in 90% of cases if ___ is normal.
transillumination
Test for facial pain and fullness by having pt ___ ___ and sit back up.
bend over
Bluish, swollen mucosa = ___
Generalized redness = ___. May also see bleeding or polyps on nasal inspection.
allergies
infection
Infant to 1 yr = ___ sinus.
Child up to age 6 = ___, ___, and ___ sinus, but not ___.
Child after age 10 and adults have all ___ sinuses.
maxillary
sphenoid, ethnoid, maxillary, frontal
four
When doing transillumination of ___ sinuses, have pt tilt head ___ and open ___. Look for light transmitted through ___ or hard ___. Lack of transillumination suggests that sinus is filled w/___.
maxillary, back, mouth, sinuses, palate, secretions
The following increase the likelihood that your pt has sinusitis: hx of ___ nasal discharge, poor response to ___, ___ tooth pain, ___ nasal discharge, and abnormal ___ sinus transillumination.
colored, decongestants, maxillary, purulent, maxillary
Infectious rhinitis, allergic rhinitis, non-allergic rhinitis, rhinitis medicamentosa, acute/chronic sinusitis, nasal sinus obstr., nasal polyposis, osteomyelitis of frontal bone are all possible differential dx for ___/___ problems.
nasal/sinus
Intense, severe sore throat = ___
Sore, scratchy d/t drng = ___
strep
URI
Ask pt’s to say “aaahh” to better visualize the ___.
oropharynx
___ ducts open on eash side of the tongue’s frenulum from the submandibular glands.
Wharton’s
___ ducts open onto the buccal mucosa across from the second molar of the upper jaw from the parotid glands.
Stensen’s
The ___ gland drains thru a number of smaller, not readily visible ducts.
sublingual
Uvula rises upon “aahh”. Deviation to one side may be caused by CN ___ palsy, which could indicate a tumor or an inf.
IX
With lesions, tongue towards the lesion is CN ___, and uvula away from lesion is CN ___.
XII, IX
Palpation of the ___ is done only as needed when a lesion is suspected.
mouth
Compare bilat upon palpation of the ___ ___.
lymph nodes
Size of lymph nodes should be < ___ cm, should feel ___, and is ___. Don’t want it to be ___ or ___.
1, rubbery, mobile, hard, fixed
___ or ___ nodes are often enlged in strep throat.
Tonsillar, retropharyngeal
Inspect the thyroid w/the neck slightly ___. Goiter is r/o if thyroid gland is ___ visible w/neck extension.
extended, NOT
The thyroid isthmus sits below the ___ ___. Start palpation of the thyroid from the ___ notch and work up. Have pt ___. Thyroid should slide up and down through finger tips.
cricoid cartilage, sternal, swallow
Thyroid should or should not be palpable?
should NOT
T or F: thyroid should be freely mobile, symmetrical, and bilat.
True
Tests to run for a sore throat may include ___ ___ ___ or ___ ___ ___ ___.
rapid screening strep, rapid screening mono spot
Epiglottitis, peritonsilar/retoropharyngeal abscess, viral pharyngitis, strep pharyngitis, mono, gonococcal pharyngitis, inflam, herpangina, Vincent’s agina, aphthlous stomatitis, herpes simplex, and candidiasis are all differential dx for ___ ___.
sore throat
