Heent Flashcards
(23 cards)
What is open angle glaucoma?
90% of glaucoma cases experience slow clogging of the drainage canals, resulting in increased eye pressure
Slow progression
What is macular degeneration?
Atrophic “dry form “most common, less severe.
Gradual damage to pigment of macula “central vision “results in severe visual loss or blindness
Exudative “wet form”
What test can people use to check for macular degeneration?
Amsler grid
To study “older patient complains of acute onset of severe frontal headache and severe eye pain was blurred vision and increased hearing. Patient seen halos around lights. What is the disease?
Parmer angle closure glaucoma patient needs to go to ER
What is herpes keratitis?
What are the signs and symptoms?
herpetic rash on the side of the temple or tip of the nose that affects the trigeminal nerve five.
Symptoms are pain, photophobia, blurred vision.
Patient should go to ER or ophthalmologist stat.
Where is torus palatinus?
It is a bony prominence on the roof of the mouth. This is normal
What changes would you see in a patient’s throat who has diphtheria?
What other symptoms of the patient have?
Yellow -grey color pseudomembrane that is hard to remove in the back your throat. Other symptoms sore throat, fever, Bullneck, dysphasia and horses.
What is a cholesteatoma
Cauliflower growth on tempanic membrane Very foul smelling your discharge. Patient can have hearing loss
What should you assess if you’re concerned about herpes keratitis?
And what would be the findings?
A fluorescent dye I scan. You’ll find fernlike wines on corneal surface
What is hairy leukoplakia?
White spots on the lateral aspect of tongue. Caused by Epstein-Barr virus.
Can be found in patients with HIV
What is leukoplakia?
Bright white plaque caused by chronic irritation. Can be oral cancer.
What is a hordeolum we are compared to a chalazon
Hordeolum is a stu infection of the hair follicle on the eyelid.
Chalazon: inflammation of the meibomian gland.
What is a penguecula?
What causes it?
Yellow triangular thickening of the bulbar conjunctiva “White part” on inner or outer margins of cornea. Caused by UV light damage to collagen.
What is a pterygium?
Your triangular sickening coming from the corner of the eye. Due to UV damage to collagen
Can treat with low dose optic steroids or referred to ENT for removal
Where is anterior uveitis?
How do you treat?
Appears like a red eye but increased tearing and complaint of red sore eyes.
Higher risk with autoimmune disorders
Treat with steroids and referral to ophthalmologist
What is sjogren’s syndrome
Dry eyes and dry oral Macosa
Can be linked with autoimmune disorder.
What is bullous myringitis?
Blister present on tympanic membrane treat as bacteria AOM.
What causes mono nuclear’s is?
What is the tetrad of symptoms of mono nuclear us?
Epstein-Barrvirus from the herpes family
Fatigue, fever, pharyngitis, lymphadenopathy posterior cervical nodes are most common.
What is conductive hearing loss versus sensorineural loss?
Conductive hearing loss and balls external canal and middle ear:’s room and impaction etc. sensorineural hearing loss is the inner ear and eighth cranial nerve. Presbycusis, noise exposure,Ménière’s disease, trauma, tumors
sensorineural: AC greater than BC in both ears
Conductive: batter BC greater than AC
What are signs and symptoms of retinal detachment?
Flashing lights, floaters, decreased visual acuity and metamorphopsia (Metamorphopsia is a type of distorted vision in which a grid of straight lines appears wavy and parts of the grid may appear blank. People with this condition often first notice this when looking at mini-blinds in their home.)
What is a Fukuda test?
A marching step test which a directional drift is usually toward affected ear in Ménière’s disease
A cutaneous reaction nearly always occurs with the use of amoxicillin in the presence of which infection?
Epstein-Barr virus
What are symptoms of acute angle-closure or narrow angle glacoma?
What are the assessment findings?
Acute blockage of drainage canals.
Headache, nausea, vomiting, halos around lights, decreased vision.
Assessment: mid dilated pupils oval shape, cornea cloudy. Funduscopic reveals cupping of optic nerve. Increase IOP.
