HEENT Flashcards
(62 cards)
Palatal petechiae not commonly seen but high specific for this diagnosis
Group A Streptococcal
Treated with antibiotics to prevent complications such as rheumatic fever and/or poststreptococcal glomerulonephritis
Group A Streptococcal
4 point scoring system used to assist with risk stratification for GAS and if there is a need to culture
Centor Criteria
- Fever
- Tonsillar exudates
- Anterior cervical lymphadenopathy
- Absence of cough
Centor Criteria
Used in the evaluation of a patient presenting with hearing loss
Tuning forks
Due to a fungal infection involving the mucosal surfaces
Candidiasis
Is a thin white lesion on the mucosal surface which is typically not painful or rub off. It can be a premalignant lesion in some cases.
Leukoplakia
The three symptoms of:
1. 2-4 weeks of purulent nasal drainage
2. Unilateral or bilateral nasal obstruction
3. Facial pain or pressure
are considered the cardinal symptoms of:
acute rhinosinusitis
More likely to have other upper respiratory (“cold”) symptoms
viral pharyngitis
Anterior cervical node lymphadenopathy/tonsillar inflammation
common signs of GAS
AC less than BC
Conductive hearing loss
An indicative sign of puberty is
enlargement of the sebaceous glands
Do you assess mental health when doing an episodic visit for a skin concern?
Yes, mental health is LARGELY affected by skin disorders
Key Findings:
closed or open comedones, papules, pustules, nodules, or cysts, post-inflammatory hyperpigmentation, often occurs in adolescents but can affect adults as well
Acne
Key Findings:
Erythematous, hyperkeratotic scaly macules, papule and/or plaques on sun-damaged skin, rough to palpation, typically seen on the face, ears, scalp, neck, and extremeties
Actinic keratosis
Key Findings:
Red bite mark in a random distribution or in a 3 cluster pattern, mildly erythematous/puritic, can cause insomnia, anxiety, secondary infections
Bed bug bites
Key Findings:
erythema, edema of skin, pain, fever, leukocytosis, mildly elevated ESR, unilateral, indistinct borders
Cellulitis
Key Findings:
dry/scaling, pruritic papules/vesicles/bullae with an erythematous base, crusting or oozing present, occurs in areas with the irritant makes contact with the body
Contact dermatitis
Key Findings:
pruritis, erythematous lesions, xerosis, lichenifications, excoriation; commonly as scaly plaques of the cheeks, forehead, scalp and upper extremities
Eczema
Key Findings:
slow growing, asymptomatic, mobile nodules
Epidermoid cysts
Key Findings:
“bulls eye” rash, appears 3-30 days after tick bite, may be mild in color, nonpruritic, nonpainful
Erythema migrans (the lyme rash)
Key Findings:
itching/sore papule/pustule rash, commonly seen in areas where razors are used
Folliculitis
Key Findings:
rash that runs along a dermatome, can be pustule or scaly depending on phase; prodromal phase: tingling, pruritis, burning, throbbing, stabbing pain; acute phase: fatigue, malaise, headache, low grade fever, rash, eruption of lesions
Herpes Zoster (shingles)
Key Findings:
Dark nodular area, can be asymmetric, have border irregularity, color variation, diameter usually larger than 6mm (can be smaller), most commonly on sun-exposed areas of the body
Melanoma
