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Flashcards in CPD Lab Midterm Deck (26)
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1
Q

Examination of Head

A
  1. Hair quality, quantity, dist, baldness, texture
  2. Nits, lice.
  3. Redness or scaling of scalp.
  4. Skull size and deformities, tenderness, lumps
  5. Facial expression, symmetry, deformities, tenderness, lumps.
  6. Skin color, texture, thickness, hair dist., lesions
2
Q

Examination of Nose

A
  1. Inferior turbinate and inf. border of middle turbinate - color, swelling, polyps.
  2. Mucosa - color, swelling, bleeding
  3. Septum - deviation or perforation
3
Q

Examination of Sinuses

A
  1. Palpate - pain or tenderness
  2. Percuss - pain or tenderness
  3. Transilluminate
4
Q

Examination of Mouth - major parts

A

Lips, buccal mucosa, mucosa, gums/teeth, roof of mouth, tongue

5
Q

Examination of Mouth - Lips

A

Lips - color, moisture, lumps, cracking, ulcers, lesions

6
Q

Examination of Mouth - Buccal Mucosa

A

Buccal mucosa - color, pigmentation, ulcers, nodules, leukoplakia, candidiasis,

7
Q

Examination of Mouth - Mucosa

A

Mucosa - color swelling, bleeding, Stenson’s (parotid) and Wharton’s (submandibular glands)

8
Q

Examination of Mouth - Gums/teeth

A

Gums/teeth - inflammation, bleeding, retraction, missing teeth, caries, fillings, abnormal shape/position

9
Q

Examination of Mouth - Roof of mouth

A

Roof of mouth - palpate hard and soft palate (torus)

10
Q

Examination of Mouth - Tongue

A

Tongue - tongue symmetrical, inspect inferior and lateral tongue.

11
Q

Examination of Pharynx

A

Depressor middle third of tongue.
Pt says Ahh at different pitches.
Inspect soft palate, pillars, tonsils, uvula, and pharynx for color, symmetry, swelling, exudates.

12
Q

Examination of Lymph Nodes

A
  1. Inspect neck for swelling, tracheal deviation asymmetry
  2. Note size shape, mobility, consistency, tenderness of lymph nodes
  3. Palpate BL: Pre-auricular, post-auricular, occipital, tonsilar, submandibular, submental
  4. Palpate UL: Superficial cervical, posterior cervical, deep cervical, supraclavicular
13
Q

Examination of Thyroid

A
  1. observe
  2. swallow water
  3. finger on crichoid, swallow to feel isthmus
  4. palpate isthmus and lobes
  5. note: enlargement, nodules
14
Q

Examination of Ear - Outer

A
  1. Auricle or tragus pain tenderness
  2. Mastoid - redness swelling
  3. Canal - swelling redness pain d/c
15
Q

Examination of Ear - TM

A
  1. Position - bulging neutral retracted
  2. Color - pearly gray, dull, cloudy, amber, red, blue hemorrhage, bullae
  3. Cone of light, umbo
  4. Bony landmarks - manubrium
  5. Insufflation
16
Q

Examination of Ear - Whispered Voice Test

A

Pt repeats at least 3 of 6 numbers of letters correctly

17
Q

Examination of Ear - Weber

A

Is there a difference in sensation or hearing in one of the ears.

  1. Conductive loss - sound lateralizes to bad ear
  2. Sensory loss - sound lateralizes to good ear
18
Q

Examination of Ear - Rinne

A

When pt no longer hears tuning fork on mastoid, position tuning fork just over ear. Can they hear it?

  1. Normal AC >= BC
  2. Conductive loss BC>= AC
  3. SN loss decrease AC > decrease BC
19
Q

Examination of Eyes - Major Parts

A
  1. Snellen and Rosenbaum charts
  2. Peripheral vision
  3. Position/alignment/outer eye exam
  4. Conjunctiva and Sclera
  5. Cornea, iris, ant chamber, lens
  6. PERRLA, hippus
  7. Extraoccular movements
20
Q

Examination of Eyes - Position/alignment/outer eye exam

A
  1. Exophthalamos (proptosis) - bulging eyes
  2. Strabismus (cross-eye)
  3. Hirschberg corneal reflex (light reflect same spot both eyes
  4. Eyebrows - quanitity, loss outer third, scaling
  5. Eyelids - edema, redness, hordeolum, chalazions, blepharitis, eyelashes, dropping of eyelids
  6. Lacrimal apparatus - redness, swelling, excess or dry
21
Q

Examination of Eyes - Conjunctiva and Sclera

A
  1. pull down lower lid - look up, to side
  2. lift upper lid - look down
  3. excessive injection, jaundice, chemosis, local redness, nodularity
22
Q

Examination of Eyes - Cornea, Lens, Anterior Chamber, Iris

A
  1. Oblique lighting - opacities of cornea, lens
  2. oblique/tangential lighting - ant chamber blood, pus, or inflammatory cells (flare of iritis)
  3. tangential lighting - shadow of iris
23
Q

Examination of Eyes - PERRLA

A
  1. Equal
  2. Round
  3. Reactive to Light (direct, consensual)
  4. Accommodation - constriction, convergence (tip of pen)
24
Q

Examination of Eyes - Extraocular movements

A
  1. H or X
  2. Abnormalities in gaze, congruity of gaze, lateral movement (CN 6), inferior/medial movement (CN 4), any other movement (CN 3), strabismus, nystagmus
25
Q

Ophthalmoscopic Exam - Retina

A

Optic disc - clarity of outline, color, cup/disc ratio
A/V crossings - nicking
Lesions on retina
Macula

26
Q

Ophthalmoscopic Exam - Anterior Chamber

A

Slit aperture, green diopters

Flare of iritis, hyphema (blood), hypopyon (pus), opacity of lens