Heent

Front 1

When performing an infant exam...

Back 1

examine on table: place a towel or blanket under them:

Front 2

When does stranger anxiety set it?

Back 2

about 7 months

Front 3

If the pediatric patient is quiet, what exams are done first/which are done last

Back 3

Heart, Abdomen, hips
Traumatic ones last: ears, mouth, throat

Front 4

Equipment for HEENT

Back 4

Snellen eye chart: otoscope: insufflation bulb: ophthalmoscope: tongue blades: tuning forks

Front 5

After assessing the patient, the clinician must make an immediate impression. What is it?

Back 5

Emergency: do something right now: Urgency: do something today: Important: develop a plan for doing something: Not important: educate, reassure and advise the patient

Front 6

Examine the head for:

Back 6

deformities. Palpate for tenderness, masses. Wounds. Evidence of previous trauma or surgery

Front 7

Examine the face for:

Back 7

Deformity, palpate for tenderness, masses: Observe for abnormal muscle or nerve function:

Front 8

Types of hair loss.

Back 8

Alopecia areata: loss in specific area. Male pattern baldness: duh? Trichotillomania: hairs broken close to the scalp. Fungual infection: hair regrows

Front 9

When hair is thin and fine it is a sign of

Back 9

Hyperthyroidism

Front 10

When hair is thick and stiff it is a sign of

Back 10

Hypothyroidism

Front 11

When examining the face, look for

Back 11

tenderness over sinuses, forehead, temples, jaw
Skin lesions: normal/abnormal function CNVII, CNV

Front 12

Diagnosis of Headache

Back 12

Sinusitis; dental disorders; meningitis, encephalitis, intracranial mass; trigeminal neuralgia; cervical disk degeneration, temporal arteritis, migraine, cluster tension

Front 13

Sinusitis

Back 13

air filled, paired extensions of the nasal cavities become obstructed and infected
Bacterial, viral, allergic
Usual: s pneu. H influ. M Catarrhalis

Front 14

Sinusitis is...

Back 14

worse upon arising or leaning forward: pain, pressure, tenderness over the frontal or max sinuses. Fever: elevated WBC, fluid level visible on plain film

Front 15

Dental disorders that cause headache

Back 15

Pain in gums, mandible, maxilla

Front 16

Meningitis that causes headache

Back 16

constant, unrelieved HA: Neck pain and back pain when tipping the head forward: stiff neck: systemic signs of infection: confusion, adigation: No localizing neuro signs

Front 17

Encephalitis that causes HA

Back 17

constant, unrelieved HA: No neck pain: systemic signs of infection: confusion, agitation, psychosis: no localizing nauro signs

Front 18

Intracranial mass that causes headache

Back 18

localizing neuro signs: slow onset of symptoms over weeks or months: malignant tumors: non-malignant tumors, space occupying masses

Front 19

Malignant tumors can be

Back 19

carcinoma
Sarcoma
lymphoma

Front 20

Non malignant tumors are

Back 20

Meningiomas

Front 21

Trigeminal neuralgia that causes headache

Back 21

pain in the dritribution of CN V
Onset usually > 55
Sharp, lancenating, electric

Front 22

Space occupying masses include

Back 22

cysts, abscesses, hematomas

Front 23

Meniere's Disease

Back 23

affects vestibular labyrinth
Cause uncertain: Sx: vertigo, tinnitus, progressive hearing loss

Front 24

Labyrinthitis

Back 24

Inflammation of the labyrinthine canal of the inner ear: severe vertigo with nystagmus, sensorineural hearing loss

Front 25

Acoustic neuroma

Back 25

benign tumor on the VIII cranial nerve: impairs auditory acuity: may impair balance: may cause vertigo

Front 26

Parts of the ear:

Back 26

Pinna, auricle, tragus, helix, antihelix, eustachian tube, tympanic membrane.

Front 27

Rinne test is done for

Back 27

bone vs air acuity (conductive hearing loss)

Front 28

Weber test is done for

Back 28

bone conduction laterization

Front 29

Schwabach test

Back 29

measure your hearing against the patients

Front 30

Disorders of the ear include

Back 30

d/o pinna: otitis externa: otitis media: impacted cerumen: FB in ear canal: Pain referred from jaw, throat, face, mastoiditis

Front 31

Otitis externa

Back 31

infection of the canal with Pseudonomas, other bacterias and candida, can cause conductive hearing loss

Front 32

Otitis media

Back 32

infection of the space btwn the tympanic membrane and the inner ear; normally air filled, tympanic membrane is red, bulgin, immobile

Front 33

Tympanostomy tubes

Back 33

allow air to get into the ear space behind the ear drum: tubes can prevent hearing loss due to infections and reduce # of infections

Front 34

mastoiditis

Back 34

evolves after inadequately treated acute otitis media: postauricular pain and erythema, srep neumonia, S pyogenes, s. aureus, h influenza

Front 35

Conductive hearing loss

Back 35

obstruction of ear canal
damage to tymp. membrn
damage to ossicles
fluid in the middle ear
abnormal weber/rinne/schwabach test

Front 36

sensorineural hearing loss

Back 36

damage to CN VIII, Damage to inner ear; acoustic neuroma: normal or abnormal weber test: normal rinne test: abnormal schwabach test

Front 37

epistaxis

Back 37

bleeding from nasal septum
due to trauma, picking, dryness, chronic insufflation of cocaine or amphetamines, chronic use of decongestants

Front 38

Chronic allergic rhinitis

Back 38

sneezing, cough: itchy nose, irritate nasopharynx, nasal congestion, watery drainage, headache, sore throat, pain on swallowing, associated with seasonal/allergens

Front 39

nasal polyps

Back 39

benign growths of connective tissue covered by mucosa: may be highly vascular: may obstruct breathing: common cause of epistaxis

Front 40

nasal hematoma

Back 40

submucosal collection of blood coming from the vessels of the nasal mucosa; pressure on nasal cartilage