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41 Cards in this Set
- Front
- Back
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Re: social history, what does HEADS stand for?
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Home/support system
Education Activities/abuse Drugs/diet Suicide/safety/sex |
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What to dif if pt has + complaint under ROS?
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If it has been diagnosed and treated, put it under PMH, if no diagnosis, put it in ROS and do an HPI.
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OLDCARTS
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Onset
Location Duration Character Aggravating/associated sx Relieving/radiating Timing Severity |
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HEENT: What is the palpebral fissure?
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The opening between the eyelids.
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When you pull someone's bottom eyelid down you are looking at the...
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Conjunctiva
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Fluid that lubricates the eye comes from the...located...
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Lacrimal gland located within the bony orbit.
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Tears drain through the ... and drain into the .....
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puncta....nasolacrimal duct
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The __________ is 1/3 the size of the ________ in fundus of the eye.
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Optic cup is 1/3 the size of the optic disk.
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When shining light into one eye then the other we are checking the _____________ rxn and the _________ rxn.
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Direct, consensual
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When we ask a pt to follow our finger to the center of their nose we are assessing....
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convergence.
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When you ask a pt to read from a snellen chart you are testing CN__?
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II
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When you assess exraocular movements, you are checking CN __,__,and __.
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III, IV, and VI.
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To assess visual fields by confrontation you...
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Wiggle fingers in temporal fields (fishbowl test).
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Myopia is....
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Difficulty seeing things far away, like me.
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Presbiopia is...
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decreased accomodation with age...old people.
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hyperopia is
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farsighted...can't see things that are close but not related to age.
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If a pt presents with painless bilateral inflamed eyelids with no impaired visual acuity and (perhaps) loss of lashes, suspect...
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blepharitis.
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If a pt presents with unilateral pain and swelling of the eyelid, an induated lesion with pus and erythema, suspect...
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hordeolum/sty.
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If a pt presents with unilateral chronic painless indurated lesion on lid with possible puritis and redness of involved eye/eyelid, suspect...
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chalazion.
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If a pt presetns with unilateral -->bilateral scratchy eye with no pain and purulent ddischarge and no change in visual acuity, this suggests...
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Bacterial conjunctivitis.
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If a pt presents with gradual onset unilateral-->bilateral scratchy eye with watery discharge and no changes in visual acuity, think...
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Viral conjuctivitis.
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If a pt presents with chronic seasonal bilateral itchy eyes with mucoid discharge and no change in visual acuity, suggest...
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Allergic conjunctivitis.
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If a pt presents with uniulateral pain and photophobia with varial bisual acuity and lots of tears, this suggest...
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corneal abrasion or foreign body.
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Generally, if a pt complains of photophobia, this suggests an infection of ______ origin.
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bacterial
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The following conditions have what in common?
Migraine, retinal detachment, macular degeneration, diabetic retinopathy. |
They present without pain.
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If a pt has conductive hearling loss, the Rinne test will result in ________ and Weber will result in_______.
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BC>AC, lateralization to affected ear.
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If a pt has sensiorineural hearing loss, it is like that the Rinne test will result in ____ and weber test will result in_____.
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AC>BC, lateralization to good ear.
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Examples of sensorineural hearing loss and disorders include:
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Miniere's disease
Noise exposure Presbycusis ototoxicity |
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Pt complains of bilateral itching, pain, discharge, painful and swollen external cannal, think...
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External otitis.
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Pt complains of severe, deep, unilateral pain and fullness. You see a red buldging TM, decreased light reflex, and redness, this is likely....
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Otitis media
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Pt complains of unilateral px, crackling or decreased hearing. You see air behind TM, and pt is + for conductive hearing loss, think....
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Serous otitis.
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S/s of minieres disease...
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Vertigo, hearing loss, fever, nausea
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Pt presents with + FH of allergies, sneezing, runny nose. You see pale, boggy mucousa, clear watery mucous. This looks like...
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Allergic rhinitis
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Pt has hx of recent URI, h/a worse with bending over, sensation of fullness or pressure in face. You see purulent discharge, find a toothache on percussion and decreased transillumination. This is...
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Acute sinusitis.
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Pt presents with sore throat, unable to lie flat, unableto talk. You notice respiratory distress, drooling, and very sick looking person. What do you do and what is this?
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Do NOT examine the throat, this is epiglottitis and refer ASAP to ED.
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Pt comes in with a scratchy sore throat, malaise, myalgia, headache, chills, cough and rhinitis. You see redness and edema or throat, Tender posterior cervical nodes. This is likely...
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Viral pharyngitis.
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Pt comesi n withs udden onset fever, severe sore throat, malaise, no cough or URI sx. You get a temp over 101.5, see exudate, and notiece anterior cervical lymphadenopathy. This is likely...
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Streptococcal pharyngitis.
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Pt presents ith slow onset malaise, low grade fever and mild sore throat. You see some exudate, paletine petechia, post cervical lymphadenopathy and poss splenomegaly. This is...
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mono.
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ID all the lymphnodes
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Preauricular
Postauricular occipital Tonsilar Submandibular Submental Superficial cervical posterior cervial supraclavicualr |
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What is leukoplakia?
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White patchy lesions on the tongue. Cannot be wiped away. Precancerous so biopsy!
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What are the landmark structures of the neck?
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Hyoid bone
Cricoid cart thyroid gland Trachea |
