Week 7 HEENT Flashcards
signs of a traumatic brain injury?
weakness, numbness, or changes in coordination
N/V
slurred speech
severe confusion/agitation
seizure/loss of consciousness
what are symptoms of conjunctivitis?
burning, crusting, itchy, but normal vision
what are signs of uveitis?
currently fighting an infection and decreased vision
what are symptoms of glaucoma?
severe ache, N/V and decreased vision
what are symptoms of corneal trauma?
blurred vision and scratchiness
what is presbycusis?
symptoms?
hearing loss caused by old age or exposure to loud sound
higher frequency loss, difficulty hearing, tinnitis
what is Meniere’s disease?
symptoms?
disease causing fluid in ear
low frequency loss, episodic hearing impairment, tinnitus, vertigo
Acute otisis externa:
causes?
symptoms?
treatment?
inflammation from swimming or trauma
pain, itching, discharge
topical antibiotics
acute otisis media:
causes?
symptoms?
treatment?
inflammation in middle ear
ear pain, fever, poor sleep and eating, N/V
systemic antibiotics or TM tubes
otisis media with effusion:
causes?
symptoms?
treatment?
severe build up in ear
pain, poor sleep and balance issues
usually no treatment, TM tubes if over 6 months
T/F sx of a strep throat typically do not include cough, runny nose, hoarseness, or conjunctivitis
true
the Centor Score for Strep Pharyngitis estimates the probability it is caused by strep. what is the test and how do you interpret the score?
Age:
3-14 +1
15-44 0
over 45 -1
Swelling on tonsils:
Yes +1
No 0
Tender/swollen lymph nodes:
Yes +1
No 0
Temp over 38 C (100.4 F):
Yes +1
No 0
Cough:
Present 0
Absent +1
0-1 no testing
Over 3 perform testing/culture
what does PERRLA stand for?
Pupils are Equally Round, Reactive to Light & Acommodation
what do we use to test visual acuity?
Snellen Chart
what is the Weber test?
place tuning fork on top of head to see if pt hears sound best on one side or both sides
what is the Rinne test?
what do the results indicate?
vibrate fork on mastoid bone, when they can no longer hear it, transfer to the ear. Ask if they hear the vibrations.
normally, air conduction is longer than the bone conduction
if they hear longer when fork is touching bone, they have conductive hearing loss
if they hear longer when fork is in air, they have sensorineural loss
what is the Romberg test?
tests balance, pt should close eyes and stay upright for 30 seconds
what do you palpate to feel neck/lymph nodes?
Lymph nodes: double post, pre, OT, double sub, super, deep, supra (10 total)
Thyroid and lymph nodes: posterior auricular, preauricular, occipital, tonsillar. submandibular, submental, posterior cervical, superficial cervical, deep cervical chain and supraclavicular nodes
what two sinuses due we palpate?
frontal and maxillary sinus
for extraocular movements (EOMs), what muscles are we testing? (easy way to remember?)
do a 360 clockwise -> IMS to ILS… so top right (looking at nose): inferior oblique -> medial rectus -> superior oblique… bottom left (away from nose): inferior rectus -> lateral rectus -> superior rectus
