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Health Assessment > Nose, Mouth, Throat (Chapter 17) > Flashcards

Nose, Mouth, Throat (Chapter 17) Flashcards

1
Q

what do we assess of the external nose

A

symmetry
midline
equal

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2
Q

nasal cavity parts

A

septum
turbinates

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3
Q

4 paranasal sinuses

A

frontal
maxillary
ethmoid
sphenoid

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4
Q

what are the 2 paranasal sinuses able to palpate

A

frontal
maxillary

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5
Q

how do we asses the frontal sinus

A

push up under eyebrow

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6
Q

how do we assess the maxillary

A

push up under cheek bone

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7
Q

what do we ask when we assess the paranasal sinuses

A

tenderness

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8
Q

who might have pain and tenderness of paranasal sinuses

A

chronic allergies/infection

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9
Q

uvula is within

A

midline

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10
Q

why do we ask people to say ah

A

causes arch to rise and brings in tonsils

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11
Q

tongue

A

papillae/pink and moist

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12
Q

teeth

A

present
absent

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13
Q

teeth assessment is important for

A

intubation

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14
Q

who might have tooth losses

A

older adults

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15
Q

what is important to know about mucosa of different skin tones

A

color of mucosa is the same

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16
Q

mucosa is still skin so it can break and lead to

A

infection

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17
Q

what medication might cause bleeding in gums

A

blood thinners

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18
Q

3 salivary glands

A

parotid
submandibular
sublingual

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19
Q

what salivary gland is the largest

A

parotid

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20
Q

where is parotid located

A

in front of ear

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21
Q

where is submandibular located

A

under mandible

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22
Q

where is sublingual located

A

under tongue

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23
Q

aging adult has diminished

A

smell and taste

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24
Q

what does the diminished smell and taste in older adults contribute to

A

not wanting to eat which leads to decreased nutrition

25
Q

aging adults have what type of tissue

A

atrophic

26
Q

aging adults have what kind of changes

A

dental

27
Q

ill patient

A

dehydrated = dry mucosa/deep fissures/pilling

28
Q

trauma

A

broken nose, deviated septum

29
Q

epistaxis

A

bloody nose

30
Q

dysphagia

A

difficulty swallowing

31
Q

where is olfactory receptor located

A

nose

32
Q

mucosa of nose

A

red, moist, smooth

33
Q

chronic allergies nasal mucosa

A

grey, pale, swollen

34
Q

upper respiratory infection nasal mucosa

A

swollen, bright, red, drainage

35
Q

test for patency

A

occulde one nostril and sniff/blow

36
Q

perforated septum biggest indicator

A

penlight in one nostril and light on the other side

37
Q

lips in darker skin

A

lips are darker skin collor

38
Q

uvula

A

midline, rise and fall when saying ahhh, rises in midline on phonation

39
Q

tonsils appearance

A

oval, granular, rough

40
Q

tonsils normal grading

A

1+ or not visible

41
Q

indentation of tonsils name

A

crips

42
Q

are crips normal

A

yes

43
Q

what is abnormal about crips

A

white exudate

44
Q

what color should crips be

A

pink

45
Q

where are tonsil stones located

A

crips

46
Q

how do infected tonsils look like

A

red, swollen, could have exudate

47
Q

what is one other thing that is noticeable with exudate

A

bad breath

48
Q

tonsils touching or overriding the uvula grade

A

4+

49
Q

decreased gag reflex means

A

decrease swallowing, increased aspiration
do not feed

50
Q

herpes simplex 1

A

cold sore, lesions, clear vesicle, heals in 4-10 days

51
Q

carcinoma

A

lesions not healed after 2 weeks
refere to a doctor

52
Q

leukoplakia

A

chalky, white, raised patches, tongue and cheek, pre cancerous, cannot scrape off, firmly attached
history of smoking/alcohol

53
Q

candidiasis/monilial infection

A

white patchy, can scrape off, elderly/cancer = increased antibiotics, babies=oral thrush

54
Q

aphthous ulcers

A

canker sore

55
Q

acute tonsillitis

A

fever, sore throat, exudate, painful swallowing, >1+

56
Q

pharyngitis

A

strep throat= rheumatic fever

57
Q

why does rheumatic fever appear

A

lack of antibiotic use

58
Q

what is rheumatic fever

A

multisystem inflamatory disease

Health Assessment (20 decks)

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