Exam of head and neck and ENT lecture Flashcards Preview

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Flashcards in Exam of head and neck and ENT lecture Deck (29):
1

What are the 4 cornerstones of a physical exam in general:

1 Inspection
2 palpation
3 percussion
4 auscultation

2

Exam of the head includes what cornerstones of physical exam?

Inspection
palpation

3

What are we looking for on inspection of the head?

symmetry
distribution of hair
areas of baldness
nits, flaking, rashes

4

what are we feeling for on palpation of the head?

masses
defects
tenderness
hair texture

5

What does thin hair indicate?

iron deficiency anemia, thyrotoxicosis

6

What does coarse hair indicate?

hypothyroidism

7

What cornerstones of physical exam are used in exam of the neck?

Inspection
Palaption
ausculation

8

Inspection of the neck looks for?

masses
scars
deformities
swelling
deviation of trachea
enlargement of thyroid

9

Palpation of the neck looks for?

palpable thyroid for presence/absence of nodules
have pt swallow
Lymph nodes

10

What is an enlarged supraclavicular node on the L side a sign of?

Virchow's node-ominous sign for gastric Ca.

11

What must you do prior to palpating the neck?

listen for carotid bruit

12

What cornerstones of physical exam are used when evaluated the carotids?

Inspection
palpation
auscultation *** auscultation first

13

What must you have pt do when auscultating the carotid artery?

have pt hold their breath

14

What cornerstones of physical exam are used when evaluating the ears?

Inspection
Palpation
(special test)

15

What are you looking for on inspection of the ears?

piercings
auricles
ear canal for redness, cerumen, d/c, FB

16

What should you do prior to palpating the pt's ear?

Ask if they have pain.

17

Pt's with otitis media will have ________ with the tug test.

No pain

18

tenderness of mastoid may indicate

mastoiditis or otitis media

19

What special test tests for lateralization?

Weber test

20

What special test tests for air vs. bone conduction

Rinne test

21

On Weber test what might be indicated if the pt. lateralized to 1 ear?

Unilateral conductive loss-tone will be percieved in the affected ear.
OR
Unilateral sensorineural loss-tone will be perceived in UNaffected ear.

22

On Rinne test what might be indicated if the pt lateralized to one ear and bone conduction is better than air conduction?

conductive hearing loss

23

One Rinne test what might be indicated if the pt lateralized to one ear and air conduction is better than bone conduction in the same ear?

Sensorineural hearing loss

24

Conductive hearing loss:

loss related to problems of the outer or middle ear (otitis media, cerumen,)

25

Sensorineural hearing loss:

Inner ear or auditory (CN8) problem (menieres dz, trauma, aging)

26

On otoscopic exam you should be looking for:

Cone of light
Handle and short process of malleus
Note color and position:
normal: pinkish color, neutral position

27

exam of the nose includes what physical exam cornerstones?

Inspection
palpation

28

What do you evaluate for on inspection of the nose?

nares for flaring
Nasal bone for symmetry
mucus membranes
nasal septum
turbinates
nasal discharge

29

What are the cornerstones of physical exam for the nasal sinuses?

Inspection
palpation
percussion