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22 Cards in this Set
- Front
- Back
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[HENT]
What HPI information is pertinent with complaints of Dizziness or Vertigo? |
Time of Onset Duration of attacks Description of Attacks Associated symptoms Unsteadiness Loss of Balance Falling Medications |
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[HENT]
What HPI information is pertinent with complaints of Hearing Loss? |
Risk Factors Onset Cerumen Impaction Environment for best hearing Word Discrimination / garbled sounds Speech Management Medications |
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[HENT]
What HPI information is pertinent with complaints of Ear Pain? |
Onset Duration Course Concurrent URI frequent swimming trauma to the head Associated symptoms method of ear canal cleaning Medications - antibiotics, ear drops |
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[HENT]
What HPI information is pertinent with complaints of Nasal Discharge? |
1. Character
2. Associated symptoms 3. Seasonality of symptoms 4. Tenderness over sinuses, face pain, headache 5. Postnasal drip or daytime cough 6. Medications |
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[HENT]
What HPI information is pertinent with complaints of Snoring? |
1. Change in snoring pattern
2. Periods of apnea 3. Complaints of snoring loudness by partner 4. Daytime sleepiness 5. Medications |
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[HENT]
What HPI information is pertinent with complaints of Nosebleed (Epistaxis)? |
1. Frequency and amount of bleeding
2. Nasal obstruction 3. Treatment and difficulty stopping the bleeding 4. Predisposing factors 5. Site of bleeding 6. Medications |
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[HENT]
What HPI information is pertinent with complaints of Dental problems? |
1. Pain
2. Tooth grinding (bruxism) 3. TMJ problems 4. Swollen, bleeding gums; mouth ulcers; tooth loss 5. Dentures or dental appliances 6. Malocclusion 7. Medication |
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[HENT]
What HPI information is pertinent with complaints of Mouth lesions? |
1. Timing and duration
2. Pain 3. Dryness of mouth or halitosis 4. Associated factors 5. Tongue character 6. Medications |
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[HENT]
What HPI information is pertinent with complaints of Sinus Pain? |
1. Fever, malaise, cough, headache, maxillary toothache, eye pain
2. Nasal congestion, colored nasal discharge 3. Pain – tenderness or pressure over sinuses; pain increases when bending forward 4. Medications |
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[HENT]
What HPI information is pertinent with complaints of Sore Throat? |
1. Pain with swallowing
2. Associated with URI 3. Postnasal drip 4. Mouth breathing 5. Exposure to dry heat, smoke, or fumes 6. Hoarseness 7. Medications |
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[HENT]
What HPI information is pertinent with complaints of Difficulty Swallowing? |
1. Solids and/or liquids
2. Tightness or substernal fullness 3. Vomiting 4. Drooling 5. Aspiration when swallowing 6. Swallowed liquids coming out of nose |
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[HENT]
Obtain an PMI - SHORES that is consistent with age & lifespan |
1. Systemic disease
2. Ear - Childhood problems, Surgery, Labyrinthitis, Antibiotic use 3. Nose - Trauma or surgery & Chronic nosebleeds 4. Sinuses - Chronic postnasal drip & Repeated sinusitis or allergies 5. Throat - Freq. strep infections, Tonsils and adenoids |
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[HENT]
Obtain an HENT - SHORES that is consistent with age & lifespan |
1. Environmental hazards
2. Nutrition 3. Oral care patterns 4. Tobacco use 5. Alcohol use 6. Intranasal use of cocaine |
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[HENT]
Describe ROS for HENT for Infants & Children |
1. Prenatal history
2. Prematurity 3. Infection 4. Breast feeding 5. Secondary tobacco smoke exposure 6. Child care 7. Developmental milestones – speech 8. Congenital defect 9. Playing with small objects 10. Behaviors indicating hearing loss 11. Dental care and number of teeth 12. Thumb sucking or pacifier use |
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[HENT]
Describe ROS for HENT for Pregnant Women |
1. Weeks of gestation or postpartum
2. Presence of symptoms before pregnancy 3. Symptoms suggestive of pathology 4. Pattern of dental care |
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[HENT]
Describe ROS for HENT for Older Adults |
1. Hearing loss of hearing aid
2. Physical disability 3. Deterioration of teeth, difficulty chewing, or dentures 4. Dry mouth 5. Medications that decrease salivation |
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[HENT] Recognize subtle changes in HENT that occur in older adults [ear] |
1. Hair cells in organ of Corti degenerate, staples ossifies
2. Striae vascularis atrophy 3. Tympanic membrane becomes sclerotic 4. Cerumen becomes dry 5. Continuing cartilage formation in ear and nose |
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[HENT] Recognize subtle changes in HENT that occur in Infants & Children [ear] |
1. Inner ear development in first trimester
2. External auditory canal in infants shorter than in adults 3. Eustachian tube in infants wider, shorter, more horizontal than in adults |
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[HENT] Recognize subtle changes in HENT that occur in Infants & Children [nose] |
1. Maxillary and ethmoid sinuses are present at birth
2. Frontal and sphenoid sinuses are not fully developed until late adolescence 3. Frontal sinus develops by 7 to 8 years of age |
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[HENT] Recognize subtle changes in HENT that occur in Infants & Children [Mouth] |
1. Deciduous teeth appear between 6 and 24 months
2. Permanent teeth appear between 6 and 15 years 3. Third molars appear about 18 years of age 4. Salivation increased by three months |
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[HENT] Recognize subtle changes in HENT that occur in older adults [Mouth] |
1. Mouth soft tissue changes – cheeks more prominent
2. Gingival tissue less elastic and more vulnerable to trauma 3. Altered motor function of tongue – difficulty swallowing 4. Saliva production decreased 5. Teeth are lost 6. Sensitivity to odors declines |
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[HENT] Recognize subtle changes in HENT that occur in Pregnant Women |
1. Laryngeal changes - Hoarseness and cough
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