General Diagnosis 2 Flashcards

(77 cards)

1
Q

acoustic neuroma

A

benign tumor of CN VIII (schwanoma)

hearing loss, tinnitus, vertigo, presence of tumor on CT or MRI

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2
Q

acute mastoiditis

A

bacterial infection in the mastoid process
presents clinically with same signs and symptoms of acute otitis media, with the addition of iflammation and aplaptory tenderness over the mastoid
hearing loss is commonly associated

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3
Q

acute otitis externa

A

an infection of the outer ear.
because this condition is often associated with sweimming, especially if the water is contaminated, it is frequently referred to as swimmer’s ear. the individual will experience inflammation and pain of outer ear. tugging on pinna will be painful

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4
Q

benign paroxysmal positional vertigo

A

brief episode of vertigo brought on by a change of head position
diagosed by having the patient perform the dix-hallpike maneuver. the patient rapidly moves from sitting to supine with the head turned 45 degrees to left and wait 30 seconds
repeat on right if nystagmus is present

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5
Q

eustachian tube block

A

retraction of tympanic membrane

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6
Q

meniere’s disease

A

disorder characterized by recurrent prostrating vertigo, sensory hearing loss, tinnitus, and a feeling of fullness in the ear

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7
Q

presbycussis

A

sensorineural eharing loss that occurs in people as they age and they may be affected by genetic or acquired factors

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8
Q

purulent otitis media

A

AKA bacterial otitis medial
bacterial or viral infection in the middle ear
tympanic membrane presents with a red appearance, dilated blood vessels and bulging

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9
Q

serous otitis media

A

effusion in middle ear resulting from incomplete resolution of acute otitis media or obstruction of eustachian tube
condition is usually chronic and fluid is amber with bubbles

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10
Q

tinnitus

A

presence of ringing of ears

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11
Q

vertigo

A

abnormal sensation of rotary movement associated with difficulty in balance, gait and navigation of environment

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12
Q

normal hearing test results

A

weber has equal sounds bilaterally

rinne test: AC>BC (Rinne+)

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13
Q

conduction hearing loss

A

lateralizes to invovled ear

AC

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14
Q

sensorineural hearing loss

A

lateralizes to uninvolved ear

AC>BC with less time in bad ear

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15
Q

allergic rhinitis

A

nasal mucosa appears pale or blue and boddy

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16
Q

atrophic rhinitis

A

thinning of nasal mucosa with sclerosis, crust formation and foul odor

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17
Q

polyps

A

typically occur as a consequence of chornic inflammation of nasal mucosa

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18
Q

viral rhinitis

A

nasal mucosa appears red and swollen with clear runny nose

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19
Q

angular stomatits

A

AKA cheilosis
red sores at corner of mouth that are referred to as angular chelitis/stomatits
can be caused by a vitamin B12 (riboflavin) deficiency

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20
Q

atrophic glossitis

A

deficiency of B vitamins or iron that causes tongue to appear smooth and glossy

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21
Q

candidiasis

A

AKA thrush

thick white fungal patches that are easily scraped off

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22
Q

fissured tongue

A

AKA scrotal tongue

deep furrows on the surface of the tongue that is considered a normal variant

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23
Q

leukoplakia

A

pre-cancerous lesions of white patiches that are adherent to the surface and not easily removed

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24
Q

acromegaly

A

excessive production of growth hormone beginning in middle age. results in abnormal growth in hands, feet and facial bones

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25
gigantism
excessive production of growth hormone prior to skeletal maturation
26
hyperthyroidism
most commonly cuased by grave's disease | TSH production is decreased and thyroid formones (T3/T4) are produced in excess
27
hypothyroidism
AKA myxedema hashimoto's thyroiditis MC cause in US congenital hypothyroid is called cretinism and causes a diminished physical and mental capacity
28
hyperthyroidism symptoms
``` weight loss with increased appetitie irritable and nervous intolerance to heat moist skin and fine hair exopthalmosis possible neck swelling due to goiter increased T3, T4, decreased TSH ```
29
hypothyroidism symptoms
``` weight gain and decreased appetite depression, weakness and fatigue intolerance to cold coarse dry hair and skin preorbital edema macroglossia and loss of lateral 1/3 eyebrows decreased T3, T4, increased TSH ```
30
age and sex of those who usually get common migraines
childhoot and early adulthood females
31
age and sex of classic migraine
childhood and early adulthood | females
32
age of HTN
adult
33
age and sex of cluster headaches
adolescent to adults | males
34
age and sex of muscular tension
any age | any sex
35
temporal arteritis age
over 50 years
36
cervicogenic age
adult
37
what is the age for sinus, subarachnoid hemorrhage, subdural hematoma, brain tumor, meningeal irritation, hypoglycemic, postconcussive headaches
any age
38
which headaches are unilateral?
common migraine classic migraine cluster (orbital, temporal) temporal arteritis (temporal)
39
site for HTN headache?
occipital | vertex
40
site for muscular tension
band like
41
site for cervicogenic
occipital | UC
42
sinus headache site
localized and changes with body position
43
site for subarachnoid hemorrhage
basilar area
44
site of brain tumor headache
any place and changes with body position
45
site for meningeal irriation
neck
46
site for hypoglycemic headache
generalized
47
site for post concussive
localized general pain
48
characteristics for common migraine
``` photophobia throbbing worse behind one eye nausea/vomiting familial decrease with advancing age, pregnancy ```
49
characteristics for classic migrain
``` photophobia throbbing worse behind one eye nausea/vomiting familial decrease with advancing age, pregnancy ```
50
characteristics for HTN headache
throbbing | wake up with ehadache
51
characteristics for cluster headach
``` wake up at night with headache lasts 15-180 minutes rihorrhea lacrimation facial sweating red eye miosis not aggravated by exertion flushed face ```
52
characterisics of muscle tension headach
pressure, muscle tightness
53
characteristic for temporal arteritis
persistent burning aching, throbbing
54
cervicogenic characteristics
daily decreased ROM in UC and occiput pain in neck, referred to head
55
characteristics of sinus
steady throb local tenderness worse in morning
56
characteristics of subarachnoid hemorrhag
abrupt onset constant stiff neck excruciating pain like never before
57
characteristics of subdural hematoma
slow bleed following trauma | s/s evident days-weeks post injury
58
characteristc of brain tumor
onset moring and evening, mild to severe, throbbing, progressively worse
59
characteristics of meningeal iritation
``` intense deep pain never experienced before stiff neck fever ```
60
characteristic of post concussive
loss of memory | visual disturbances
61
common migraines and classic migraines provoked by
``` bright light chocolate cheese tension red inwe menstrual cycle too much/too little sleep ```
62
HTN caused by?
decreased weight | decreased salt
63
cluster caused by?
alcohol | seasonal
64
muscular tension caused by
fatigue tension stress work
65
temoral arteritis provoked by?
scalp sensitive | tender arteries
66
cervicogenic caused by
head movement
67
sinus caused by
chronic sinusitis
68
subarachnoid hemorrhage caused by
HTN, stress
69
subdural hematoma caused by?
truama
70
brain tumor caused by?
tumor growth
71
meningeal irritation caused by?
flexion
72
follow up common migraine
dietary log adjust avoid provoking factors
73
HTN follow up
blood pressure | lipid profile
74
follow up temporal arteries
ESR elevated | biopsy
75
followup cervicogenic headache
flex/extend headaches
76
follow up subarachnoid hemorrhage
high BP | fever
77
follow up meningeal irritaiton
kernig/brudzinski | CSF tap