Lesson 6 (EENT) Flashcards
To investigate a complaint about the eyes, ears, nose and throat what should you ask for?
onset, location, duration, and characteristics (Symptoms as well as what aggravates them)
What do you get on Physical Assessment Interview Data (Subjective)?
History
What do you get on Physical Assessment Physical Data (Objective )?
Inspection
Palpation
Percussion
Auscultation
or
IPPA
In the examination of the eyes, what includes in the assessment of external structures?
Visual Acuity, Ocular movement, Visual fields.
the degree of detail the eye can discern in an image
Visual Acuity
the ability of the eyes to move in various directions
Ocular movement
the area an individual can see when looking straight ahead
Visual fields
Most eye assessment procedures involve…
Inspection
Types of refractive error on the lenses of the eyes
Myopia
Hyperopia
Presbyopia
Astigmatism
nearsightedness
Myopia
farsightedness
Hyperopia
loss of elasticity of the lens and thus loss of ability to see close objects
Presbyopia
An uneven curvature of the cornea that prevents horizontal and vertical rays from focusing on the retina
Astigmatism
Common inflammatory visual problems that nurses may encounter in clients include:
conjunctivitis, dacryocystitis, hordeolum, iritis, and contusions or hematomas
inflammation of the bulbar and palpebral conjunctiva
conjunctivitis
may result from foreign bodies, chemicals, allergenic agents, bacteria, or viruses. Redness, itching, tearing, and mucopurulent discharge occur.
conjunctivitis
inflammation of the lacrimal sac
Dacryocystitis
is manifested by tearing and a discharge from the nasolacrimal duct.
Dacryocystitis
STY
Hordeolum
is a redness, swelling, and tenderness of the hair follicle and glands that empty at the edge of the eyelids.
Hordeolum
inflammation of the iris
Iritis
Photophobia
sensitivity to light
may be caused by local or systemic infections and results in pain, tearing
Iritis
are “black eyes” resulting from injury.
Contusions or hematomas
tend to occur in individuals over 65 years old although they may be present at any age.
Cataracts
a disturbance in the circulation of aqueous fluid, which causes an increase in intraocular pressure
Glaucoma
is the most frequent cause of blindness in people over age 40 although it can occur at younger ages
Glaucoma
Pupils are normally…
black, are equal in size (about 3 to 7 mm in diameter), and have round, smooth borders.
Cloudy pupils are often indicative of…
Cataracts
enlarged pupils
Mydriasis
may indicate injury or glaucoma, or result from certain drugs
Mydriasis