HEENT

Question 1

mnemonic for eval of adults of acute pharyngitis for the likelihood of bacterial infection vs viral

Answer 1

C.E.N.T.O.R.
- cough absent +1
- exudate or enlarged tonsils +1
- nodes (swollen or tender cervical nodes) +1
- temp >100.4F +1
- OR: < 15 yrs old +1 pt, 15-44 is 0 pts and >44 is -1 pt

Question 2

acute onset severe eye pain
photophobia
tearing
blurred vision in 1 eye

Answer 2

keratitis (inflammation of cornea affecting visual acuity)

send to ED!

Question 3

keratitis can lead to

Answer 3

permanently damage corneal epithelium to corneal blindness

Question 4

major risk factor for keratitis:

Answer 4

contact lens
can be from trauma, poor lens hygiene

Question 5

dendritic fern like lines in corneal surface

Answer 5

herpes keratitis

Question 6

elderly pt with acute onset severe eye pain with headache
-nausea/vomiting
-halos around lights
-cornea cloudy
-decreased vision

Answer 6

acute narrow angle closure glaucoma

SEND TO ED

Question 7

young adult with new loss of vision in 1 eye alone or with nystagmus or other abnormal eye movements
-neuro sx’s (aphasia, paresthesia, abnormal gait)
-c/o daily fatigue worsening throughout the day
-recurrent episodes

Answer 7

optic neuritis a/s with multiple sclerosis

Question 8

sudden onset of floaters
looking thru a curtain sensation
sudden flashes of light

Answer 8

retinal detachment
refer to ED