Heent Health Assessment

Front 1

Paratid Glad enlargement

Back 1

Gland enlarges w/ mumps

Front 2

palpebral fissure

Back 2

measurement btwn lower & upper lid when eye is open

Front 3

conductive hearing loss

Back 3

mechanical problem - can hear something, ex fluid or wax buildup

Front 4

sensorineuro hearing loss

Back 4

nerve damage to ear, total hearing loss

Front 5

pathways of hearing

Back 5

air & bone

Front 6

age related changes to face/head/neck

Back 6

facial bones more prominent - skin loses elasticity, wrinkles & sags - skin is dry

Front 7

age related changes to eyes

Back 7

less tears, lipid deposits, eyelid deformity, less lens elasticity, cataracts, glaucoma, macular degeneration

Front 8

arcus senilis

Back 8

gray white arch around cornea

Front 9

ectropion

Back 9

eyelid deformity - lower eyelid rolls out

Front 10

xanthelasma

Back 10

raised yellow plaques occur on eyelids

Front 11

ptosis

Back 11

lid droop

Front 12

pseudoptosis

Back 12

an abnormally small palpebral fissure

Front 13

ptosis caused by

Back 13

neuromuscular weakness, cranial nerve III damage, sympathetic nerve damage

Front 14

presbyopia

Back 14

loss of near sight with age

Front 15

what's happening with presbyopia

Back 15

decrease elasticity of lens = loss of focus, nerve degenerates, difficult to see objects close

Front 16

cataracts

Back 16

due to lens obacity, eye appears cloudy, vision blurred, sensitive to light & glare

Front 17

glaucoma

Back 17

loss of peripheral vision due to increased intraocular pressure - person compensates by turning whole body

Front 18

macular degeneration

Back 18

loss of central vision due to retinal damage, most common cause of blindness

Front 19

age related changes w/ ears

Back 19

less stiff cilia - more cerumen - hearing loss - increased auditory reaction time

Front 20

presbycusis

Back 20

irreversible hearing loss caused by inner ear nerve degeneration - gradual, progressive hearing loss - harder to hear high frequency

Front 21

cerumen & hearing loss

Back 21

common cause of reversible hearing loss

Front 22

age related nose/mouth/throat

Back 22

nasal hair stiffen - decreased sense of smell - decreased taste buds - decreased saliva - atrophy leading to ulcerations

Front 23

xerostomia

Back 23

dry mouth

Front 24

loss of conciousness causes fall

Back 24

seisure, decreased BP, cardiovasular cause ... arrythmias

Front 25

headache pain wakes up at night

Back 25

increased cerebral pressure

Front 26

subjective data face/head/neck

Back 26

headaches - head injuries - dizziness - neck pain or limited ROM - lumps or swelling - alopecia - PMH

Front 27

subjective data eyes

Back 27

vision changes - pain - redness, swelling - irritation, discharge - ovular history - glasses, contacts - eye exam - medications

Front 28

strabismus

Back 28

"cross eyed" - eyes don't line up in same direction when focusing

Front 29

diplopia

Back 29

double vision

Front 30

otalagia

Back 30

ear pain

Front 31

subjective data ears

Back 31

earaches - infections - discharge (color & odor) - hearing loss - tinnitus - environmental noise - vertigo - hearing exam

Front 32

vertigo - subjective

Back 32

vertigo when feels like person spinning

Front 33

vertigo - objective

Back 33

vertigo when feels like room is spinning

Front 34

when is tinnitus worst

Back 34

at nite when trying to sleep

Front 35

how to ask about headaches

Back 35

Have you experienced any unusually frequent or unusually severe headaches?

Front 36

hearing loss risk factors

Back 36

genetic - smoking - environmental - meds ... aspirin - age

Front 37

subjective data nose

Back 37

congestion - discharge - frequent colds - sinus pain - allergies - altered smell - epistaxis

Front 38

epistaxis

Back 38

bloody nose

Front 39

cause of epistaxis

Back 39

trauma to nose, vigorous nose blowing, object up nose, tumor

Front 40

2 types of allergies

Back 40

seasonal & perrenial (dust mites)

Front 41

subjective data mouth & throat

Back 41

sores or lesions - sore throat - bleeding gums/ toothaches - dsyphagia - hoarseness - altered taste - smoking/ ETOH - dental care

Front 42

dysphagia

Back 42

trouble swallowing

Front 43

examination of face/ neck/ head

Back 43

inspect & palpate

Front 44

normocephalic

Back 44

round symmetric skull that is appropriately related to body size

Front 45

neck lymph nodes

Back 45

preauricular, posterior auricular, occipital, submental, submandibular, jugulodigastric, superficial cervical, deep cervical chain, posterior cervical, supraclavicular

Front 46

lymphathalopathy

Back 46

enlarged lymph nodes

Front 47

when cancer lymph nodes feel like

Back 47

hard, fixed, not tender

Front 48

cartilage in throat

Back 48

high - hyoid bone ---- thyroid cartilage (Adam's apple) ---- lowest cricoid cartilage

Front 49

Thyroid conditions

Back 49

goiter - iodine deficiency or over active thyroid

Front 50

acromegaly

Back 50

enlarged skull w/ thickened bones due to over secretion of growth hormone after puberty ---- enlarged face, prominate nose & jaw

Front 51

Snellen

Back 51

test for visual acuity

Front 52

20/ 30

Back 52

when standing at 20' see what normal person can see at 30'

Front 53

20/ 200 vs 20/ 40

Back 53

> denominator worse vision

Front 54

Jaeger

Back 54

test for presbyopia, hold card at 14"

Front 55

visual confrontation

Back 55

checking for peripheral vision

Front 56

Corneal Light Reflex

Back 56

assessing parrallel alignment of eye axis ---- (+) see light reflect in eye at same location

Front 57

Cover Test

Back 57

detects small degree of deviated alignment of eye axis - use when corneal light reflex is abnormal ----- cover R eye - L eye moves inward to take over vision ---- remove cover & eye drifts back

Front 58

Diagnostic Positions Test

Back 58

assessing for muscle weakness during movement & cranial nerves III, IV & VI ..... using 6 cardinal positions ..... looking for eyes to track in parrallel

Front 59

exophthalmos

Back 59

eyes bulging

Front 60

Places to look for jaundice

Back 60

sclera & upper palate

Front 61

pupil size --- normal

Back 61

3-5mm

Front 62

anisocoria

Back 62

unequal pupil size

Front 63

miosis

Back 63

constricted pupils

Front 64

mydriasis

Back 64

dilated pupils

Front 65

ptosis ... which cranial nerve damaged?

Back 65

cranial nerve III shows up as ....

Front 66

eyes - direct & consentual

Back 66

shine light in 1 other eye responds in same way

Front 67

visual accommodation

Back 67

eye adjusts & is able to focus at various changing distances

Front 68

diplopia

Back 68

double vision

Front 69

strabismus

Back 69

cross eyed - eyes do not line up in same direction when focusing

Front 70

otitis externa

Back 70

infection of outer ear ... swimmer's ear ... edema & erethemia of pinna and channel

Front 71

Weber test

Back 71

place tuning fork on top of head ... vibration should be the same in both ears ... conductive loss sound lateralizes to bad ear ... sensoral loss sound lateralizes to good ear

Front 72

Rinne Test

Back 72

compairing AC & BC normal AC > BC .... conducitve loss get AC & BC equal or BC > AC .... senoral loss get sound reduced overall but same ration of AC > BC

Front 73

normal nasal mucosa

Back 73

very vascular to pink in color, smooth moist surface

Front 74

rhinutus

Back 74

inflammation & mucosa bright red & swollen

Front 75

nasal mucosa chronic allergy

Back 75

swollen + pale & gray

Front 76

rhinorrhea

Back 76

runny nose

Front 77

cheilitis

Back 77

cracking fissures @ mouth due to excessive salivation + possible candida infection

Front 78

cause bright cherry red lips

Back 78

CO poisoning, acidosis, ketoacidosis

Front 79

nystagmus

Back 79

involuntary eye movement