H&p_Heent

Front 1

With the HEAD EXAM, what might you find, generally?

Back 1

1. erythema (redness) - seborrheic dermatitis, sunburn, psoriasis
2. lesions - ulcerations, acne, nevi
3. masses - pilar cysts
4. rashes
5. wildlife - lice, nits
6. tenderness - trauma, sunburn

Front 2

What disease is associated with FINE HAIR?

Back 2

hyperthyroidism

Front 3

What disease is associated with COARSE HAIR?

Back 3

hypothyroidism

Front 4

What disease is associated with OILY/MOIST HAIR?

Back 4

seborrheic dermatitis (bad, crazy dandruff)

Front 5

What are common types of HAIR LOSS you might see?

Back 5

1. alopecia aerata
2. androgenetic alopecia (AGA)
3. Telogen effluvium
4. Trichotillomania

Front 6

How can you confirm TEMPORAL ARTERITIS?

Back 6

1. palpate for tenderness and thickness; artery may be exquisitely tender, warm, or pulseless; may roll between your fingers
2. auscultate for bruits using the bell
3. headache or loss of eyesight
4. biopsy

Front 7

another name for TEMPORAL ARTERITIS

Back 7

Giant Cell Arteritis

Front 8

When examining the face, particularly the TMJ, what nerve are you testing when you have the patient clench their teeth?

Back 8

CN V

Front 9

What could cause PAROTID GLAND ENLARGMENT?

Back 9

obstruction of the parotid duct

Front 10

another name for the PAROTID DUCT

Back 10

Stenson's duct

Front 11

excessive facial or body hair, especially on women and on patients with Cushing's syndrome

Back 11

HIRSUTISM

Front 12

brownish discoloration possibly due to estrogen and/or sun exposure and/or pregnancy

Back 12

MELASMA

Front 13

What are some possible SKIN ABNORMALITIES you might see?

Back 13

1. hirsutism
2. melasma
3. epidermal cyst
4. telangectasia, or spider angioma

Front 14

another name for a SPIDER ANGIOMA

Back 14

telangectasia

Front 15

Give some examples of FACIES.

Back 15

1. Cushing's Syndrome
2. Myxedema
3. Parkinson's Disease

Front 16

an expression or appearance of face and features of the head and neck that are characteristic of a clinical condition

Back 16

FACIES

Front 17

What are some facies conditions associated with CUSHING'S SYNDROME?

Back 17

1. facial swelling
2. red cheeks
3. moon face
4. hirsutism

Front 18

What are some facies conditions associated with MYXEDEMA?

Back 18

1. dry, coarse hair
2. sparse hair
3. thin, lateral eyebrows
4. puffy eyes
5. puffy face

Front 19

What disease is associated with MYXEDEMA?

Back 19

HYPOTHYROIDISM

Front 20

What are some facies conditions associated with PARKINSON'S DISEASE?

Back 20

1. decreased facial mobility
2. stare
3. blunted expression
4. mask-like face

Front 21

How far away is the ROSENBAUM CHART held when testing near vision?

Back 21

14 inches

Front 22

What chart is used to test near vision? distant vision?

Back 22

rosenbaum; snellen

Front 23

When testing PERIPHERAL VISUAL FIELDS and you find an abnormal result, what should you do?

Back 23

1. proceed with testing the visual fields of one eye at a time
2. have pt cover one eye and move your wiggling fingers from defective area toward better vision

Front 24

Loss of lateral eyebrows is associated with what disease?

Back 24

HYPOTHYROIDISM

Front 25

drooping of the upper eyelid

Back 25

PTOSIS

Front 26

fluid that has leaked out of a tissue or capillaries due to injury or inflammation

Back 26

EXUDATE

Front 27

constriction of pupils

Back 27

MIOSIS

Front 28

dilation of pupils

Back 28

MYDRIASIS

Front 29

another name for EXOPHTHALMOS

Back 29

PROPTOSIS

Front 30

raised, yellowish plaques along nasal portions of one or both eyelids; may or may not accompany lipid disorders

Back 30

XANTHELASMA

Front 31

another word for STYE

Back 31

HORDEOLUM

Front 32

painful, tender, red infection in a gland at the margin of the eyelid (sweat gland or sebaceous gland)

Back 32

STYE

Front 33

nontender, usually painless nodule; usually points to inside of the eyelid; chronic

Back 33

CHALAZION

Front 34

What is used to test extraocular muscle balance and ocular alignment?

Back 34

CORNEAL LIGHT REFLECTION

Front 35

What should you do if you find an abnormality, such as disconjugate gaze, when performing the CORNEAL LIGHT REFLEX?

Back 35

perform the COVER-UNCOVER TEST

Front 36

eye faces inwards

Back 36

ESOTROPIA

Front 37

eye faces outwards

Back 37

EXOTROPIA

Front 38

What eye test may reveal a slight muscle imbalance?

Back 38

COVER-UNCOVER TEST

Front 39

fine rhythmic oscillations of the eyes; may occur in horizontal, vertical, or rotary; when sustained it is associated with neurological conditions (i.e., CVA, MS, brain tumor)

Back 39

NYSTAGMUS

Front 40

a rim of sclera is visible above the iris as the patient moves his/her eyes from up to down

Back 40

LID LAG

Front 41

LID LAG is associated with what disease?

Back 41

HYPERTHYROIDISM

Front 42

After completing the "H" testing the EOMs, ask the patient to follow your finger as you move it in towards the bridge of their nose. When you do this, what are you testing?

Back 42

COVERGENCE

Front 43

What test addresses the direct and consensual pupillary reactions?

Back 43

PUPILLARY LIGHT REACTION

Front 44

pupillary constriction in the same eye

Back 44

DIRECT REACTION

Front 45

pupillary constriction in the opposite eye

Back 45

CONSENSUAL REACTION

Front 46

If the PUPILLARY LIGHT REACTION is abnormal or questionable, what should you do?

Back 46

test the NEAR REACTION in normal room light

Front 47

What is the NORMAL RESULT for the NEAR REACTION? What nerve is being tested?

Back 47

pupils constrict when the patient shifts gaze from a far object to a near one
--CN III

Front 48

The NEAR REACTION can be helpful in diagnosis of which condition(s)?

Back 48

1. Argyll Robertson Pupils
2. Adie's (Tonic) Pupils

Front 49

What does the NEAR REACTION test?

Back 49

1. convergence
2. accommodation (not visible to examiner)
3. pupillary reaction

Front 50

another name for ARGYLL ROBERTSON PUPILS

Back 50

SMALL IRREGULAR PUPILS

Front 51

What qualifies as an ABNORMAL NEAR REACTION? What would the diagnosis be?

Back 51

accommodation occurs with the near reaction, but there is no reaction to light; ARGYLL ROBERTSON PUPILS
--or--
aniscoria; ADIE'S PUPIL

Front 52

What other disease is associated with ARGYLL ROBERTSON PUPILS?

Back 52

syphilis

Front 53

unequal pupils

Back 53

aniscoria

Front 54

What disease is associated with aniscoria; severly reduced, slowed, or absent reaction to light; slow near reaction; slow accommodation

Back 54

ADIE'S PUPILS

Front 55

What disease is associated to impaired parasympathetic nerve supply to the iris?

Back 55

ADIE'S PUPILS

Front 56

red-orange glow in the pupil

Back 56

RED REFLEX

Front 57

What are possible causes of an absence of the RED REFLEX when performing the OPHTHALMOSCOPIC EXAM?

Back 57

1. cataract
2. opacity of the vitreous
3. detached retina
4. retinoblastoma
5. pt may have artificial eye

Front 58

opacity of lens

Back 58

CATARACT

Front 59

Rather than the RED REFLEX, you see a "white light" when performing the OPHTHALMOSCOPIC EXAM. What is this effect called? What condition might the patient have?

Back 59

LEUKOCORIA; retinoblastoma

Front 60

swelling of the OPTIC DISC and bulging of the physiologic cup due to intracranial pressure being transmitted down CN II

Back 60

PAPILLEDEMA

Front 61

Of what is the FUNDUS composed?

Back 61

1. retina
2. optic disc
3. macula
4. fovea

Front 62

What could be associated with PAPILLEDEMA?

Back 62

1. meningitis
2. subarachnoid hemorrhage
3. masses
4. trauma

Front 63

When performing the OPHTHALMOSCOPIC EXAM, what are you looking for when looking at the RETINA?

Back 63

1. that arteries and veins extend to the periphery
2. that arteries are lighter, smaller, and have a brighter reflection than veins
3. that the veins are 2x larger than the arteries

Front 64

the part of the eye, which allows visualizing fine details and performance of reading and driving

Back 64

MACULA

Front 65

an eye condition associated with undigested cellular debris
also,
--What is the undigested cellular debris called?

Back 65

MACULAR DEGENERATION; drusen

Front 66

When performing the OPHTHALMOSCOPIC EXAM, what ANTERIOR STRUCTURES should you examine?

Back 66

1. cornea
2. lens
3. anterior chamber
4. vitreous (should not be visible)

Front 67

dark specks or strands between the fundus and lens

Back 67

VITREOUS FLOATERS

Front 68

density within the lens

Back 68

CATARACT

Front 69

What are some tests you could perform in addition to the OPHTHALMOSCOPIC EXAM?

Back 69

1. depth of anterior chamber
2. corneal sensitivity
3. upper lid eversion

Front 70

What are you looking for when examining the DEPTH OF THE ANTERIOR CHAMBER?

Back 70

look for CRESCENT SHADOW on the MEDIAL SURFACE OF THE IRIS on that side (normal = no shadow seen)

Front 71

What condition might the patient have when an abnormal finding is present when examining the DEPTH OF THE ANTERIOR CHAMBER?

Back 71

GLAUCOMA

Front 72

1. increased intraocular pressure (IOP) with no crescent shadow on iris

2. increased IOP with shadow present

Back 72

1. open-angle glaucoma
2. narrow-angle glaucoma

Front 73

When may cause an ABNORMAL RESULT when testing the CORNEAL REFLEX?

Back 73

abnormal = no blinking; this could be do to a LESION OF CN V OR CN VII

Front 74

What are you looking for when performing UPPER LID EVERSION?

Back 74

inspecting the upper palpebral conjunctiva for foreign bodies

Front 75

What does S-O-A-P stand for?

Back 75

S =subjective
O = objective
A = assessment
P = plan