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Physical Diagnosis 1 > HEENT Normal Abnormal Liza > Flashcards

HEENT Normal Abnormal Liza Flashcards

0
Q

CN III, IV and VI

A

EOM extra ocular movement

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1
Q
  1. CN III, IV and VI (oculomotor, trochlea and abducent)
  2. CN VII
  3. CN V
  4. CN IX, X (glossopharyngeal and vagus)
  5. CN XII (hypoglossal)
  6. CN XI (accessory)
A
  1. EOM extra ocular movement (H test)
  2. Facial expression
  3. Mastication
  4. Swallowing
  5. Tongue
  6. Head and shoulder movement
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2
Q

EOM extra ocular movement

A

CN III, IV and VI

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3
Q

CN VII

A

Facial expression

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4
Q

CN V

A

Mastication/masseter m fx

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5
Q

CN IX and X

A

Swallowing

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6
Q

Swallowing

A

CN IX and X

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7
Q

CN XII

A

Tongue

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8
Q

Tongue

A

CN XII

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9
Q

Head and shoulder movement

A

CN XI

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10
Q

CN XI

A

Head and shoulder movement

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11
Q

Anatomy of head

A

maxilla, mandible, nasal bone, orbit, parietal bone, temporal bone
SUPERFICIAL TEMPORAL A.
Submandibular and parotid glands

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12
Q

Inspect external eyes: conjuctive, sclera, iris, cornea, lids

A

“I am inspecting the eyes for symmetry,
EXOPHTHALMOUS (eyes prodruding, hyperthyroid), PTOSIS (one eye lid shut/droopy), ICTERUS (jaundice, yellow),
edema and lesions”

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13
Q

Exophtalmos

A

eyes protruding (hyperthyroid)

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14
Q

eyes protruding (hyperthyroid)

A

exophthalmos

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15
Q

icterus

A

juandice, yellow

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16
Q

jaundice, yellow

A

icterus

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17
Q

droopy eye lid CN III

A

ptosis

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18
Q

mastication/ masseter m

A

CN V

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19
Q

eye anatomy

A

upper eyelid: tarsal plates and MEIBOMIAN glands
pupil, iris, cornea, sclera, lower eye lid
medial and lateral CANTHUS
BULBAR conjunctiva: covers anterior eyeball
Palpebral conjunctiva: covers inner eyelids
LIMBUS: bulbar conjunctiva merges with cornea

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20
Q

lacrimal apparatus

A

lacrimal gland
lacrimal sac: canaliculi (upper) and puncta (lower dot)
nasolacrimal duct

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21
Q

Ptosis vs incomplete closure

A

CN III droopy eyelid

vs CN VII

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22
Q

CN II (optic)

A

Visual acuity

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23
Q

Corneal light reflection test for

A

conjugate (parallel) gaze

shine light about 2 feet in front of pt

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24
Q

mydriasis

A

dilation of pupil

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25
Q

miosis

A

constriction of pupil

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27
Q

Nystagmus

A

jerky eye movt at extremes of H exam

28
Q

Fundoscopic anatomy

A

Fovea, macula, Optic disk (into optic nerve II) inside optic cup (cup:disk ratio 1:2 (C before D))
Anterior chamber, posterior chamber (around iris)

29
Q

view macula by having the pt look

A

directly into light

30
Q

elevated optic disc

A

with papilledema

31
Q

ear anatomy

A 
Helix, antihelix
tragus, antitragus
Lobule, ear canal (24 mm)
CUREMEN
tympanic membrane (TM)
Malleus (short process, handle)
UMBO: TM meet malleus
32
Q

CN VIII

A

hearing

Palpate auricle, tragus and mastoid for tenderness

33
Q

Otitis externa

Osteoma

A

pain with movement of auricle and tragus

benign, nontender, nodular swelling noted in EAC?

34
Q

Anatomy of mouth and pharynx

A

lips, tongue, 32 teeth
gingivae
tonsils
anterior/posterior pillars
uvula part of soft palate (posterior pharynx)
Under tongue: Whartons duct of submandibular/submaxillary gland
Near upper 2nd molar: Stensens duct from Parotid gland

35
Q

test CN XII (accessory) by

A

stick tongue out and move it from side to side

36
Q

test for gag reflex

A

with tongue blade

CN IX and X (glossopharyngeal and vagus)

37
Q

CN IX and X test for

A

gag reflex

38
Q

Torus palatinus

A

benign midline mass in hard palate

39
Q

anterior triangle of neck

A

mandible, sternocleidomastoid, midline neck

40
Q

posterior triangle of neck

A

sternocleidomastoid, trapezius, clavicle

41
Q

Anatomy of the neck

A 
hyoid bone
thyroid cartilage and gland
cricoid cartilage
TRACHEA
Carotid artery, jugular vein
42
Q

check CN XI (accessory) motor fx

A

lateral rotation of neck against resistance

shoulder shrugging against resistance

43
Q

cervical lymph nodes

A 
occipital
post-auricular
pre-auricular
tonsillar
submaxillary (submandibular)

submental
anterior cervical - superficial and deep
posterior cervical - superficial and deep
supraclavicular

44
Q

bruits or bruit

A

brew-eez or brew-ee (s)

sign of arterial obstruction

45
Q

enlarged thyroid

A

goiter

46
Q

head exam revisited

A 
inspect: facial feature
inspect and palpate hair, scalp and skull
test facial muscle fx
test facial sensation - light touch
palpate facial bones/sinuses
palpate TMJ, test ROM
palpate masseter
47
Q

eye exam revisited

A 
examine external eyes
test acuity
assess depth of anterior chamber
check corneal light "reflexion"
direct and consensual pupillary reflexes
EOMs with accomodation
Ophthalmascopic (fundoscopic) exam
48
Q

While I am washing my hands, I am inspecting for 11

A

general state of health, signs of distress, facial expression, posture, stature, build, sexual development, mental alertness, speech, GROOMING and hygiene, mobility

49
Q

vital signs 6

A

height, weight, temperature

radial pulse, respirations, BP

50
Q

skin, inspect

A

color, texture, temp and turgor

lesions for location, distribution, grouping, type and color

51
Q
  1. inspect facial feature
A

“head is normocephallic, face is symmetrical without lesions”

52
Q

test facial muscle fx

A

CN VII

squeeze eyes shut, wrinkle forehead, smile, puff out cheeks

53
Q

light touch

A

sensory CN V

forehead, cheeks, chin

54
Q

palpate

A

facial bones, frontal and maxillary sinuses
TMJ and ROM
masseter (CN V, motor)
hair, scalp and skull (symmetrical hair distribution, hair is thin/coarse, curly/straight with male pattern baldness”

56
Q

Extra ocular muscles (EOM):
Lateral Rectus LR
Superior Oblique SO
All others

A

CN VI abducent
CN IV trochlear
CN III

57
Q

Stenson’s duct

A

Parotid duct (near upper 2nd molar)

58
Q

Wharton’s duct

A

Submandibular gland (under tongue)

59
Q

Canaliculi

A

upper part of lacrimal sac

60
Q

Puncta

A

lower part of lacrimal sac

61
Q

Upper part of lacrimal sac

A

Canaliculi

62
Q

lower part of lacrimal sac

A

puncta

63
Q

benign midline mass on hard palate

A

Torus palatinus

64
Q

dandruff

A

seborrheic dermatitis

65
Q

which nerve is responsible for taste?

A

CN VII

66
Q

Which nerve is involved in gag reflex/uvula/swallowing vx tongue movement?

A 
CN IX and X (Glossopharyngeal and Vagus): gag/uvula (say "Ah")
CN XII (hypoglossal) : tongue protruding and side to side

Physical Diagnosis 1 (19 decks)

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