AC twice as long as BC
normal
AC/BC are both decreased in one ear
Nerve conduction disease
BC > AC with Rinne test
Serous otitis media
Bilateral dilated pupils
Cocaine, barbiturate or amphetamine abuse
Bilateral pinpoint pupils
Heroin use
Bilateral swollen optic discs (papilledema)
Raised intracranial pressure; brain tumor
Blue sclera in infant with many fractures
Osteogensis imperfecta
Blurred margins of macula or pigmentation
Macular degeneration
Copper or silver wiring of retinal arterioles
Hypertensive retinopathy
Cupped optic disc
Chronic glaucoma
Enlarged tongue (macroglossia)
Hypothyroidism in infants
exophthalmos
Hyperthyroidism or orbital tumor
Flame hemorrhages and dots (microaneurysms)
Diabetic retinopathy
Foul purulent unilateral nasal discharge
Sinusitis or foreign body in nose
Goiter with brittle dry course hair
myxedema (hypothyroidism)
Goiter with exophthalmos or tachycardia
Graves disease
Gray ring around cornea (arcus senilis)
hyperlipidemia
Hears better in one ear with Weber test
Problem with one of the ears
Large head in child with open fontanelles
hydrocephalus
Lid lag
hyperthyroidism
Loss of red pupil light reflex
Cataract or neuroblastoma
Loss of outer third of eyebrow
hypothyroidism or leprosy
Midline neck mass moves with tongue
thyroglossal cyst
Midline bony mass in the hard palate
Torus palatinus
Mucopurulent discharge from ear
Otitis media
Nasal septum perforation
Cocaine abuse
Pale conjunctiva
anemia
Periorbital edema
cellulitis, cavernous sinus thrombosis
Painful boil on the margin of the eyelid
External style (hordeolum)
Painful red eye with purulent discharge
conjunctivitis
Painful eye with circumcorneal redness
iritis
Painful red eye with tense eyeball
Acute glaucoma
Painless boil on the inside of an eyelid
Internal style (chalazion)
Pain on pulling the ear up and backwards
Otitis externa
Pale swollen bluish nasal mucosae
Chronic allergies
Ptosis: bilateral
Myasthenia gravis, Lambert Eaton syndrome
Ptosis: unilateral
Horner’s syndrome
Puffy eyelids, especially in the mornings.
Renal dysfunction
Pupil accommodates but does not react to light
Argyll Robertson pupil (tertiary syphilis)
Pupil is dilated and reacts poorly to light
Adie’s pupil
Pupil is small and constricted (miosis)
Horner’s syndrome
Red bulging tympanic membrane
Otitis media
Retracted tympanic membrane
Eustachian tube blockage
Scales on eyebrows
seborrheic dermatitis
Swollen itching eyelids
blepharitis
Tophus on helix of ear
Chronic gout
Tongue- beef red color
Vitamin B12 deficiency
Tongue - magenta color
Riboflavin deficiency
Tongue - pale
Iron deficiency
Triangular fleshy growth in medial side of sclera
Pterygium
Turned in eyelids
entropion
Turned out eyelids
ectropion
Unilateral swollen tonsil with severe sore throat
Peritonsillar abscess
Yellow thickening of the bulbar conjunctiva
Pinguecula
Vertigo with healing loss and tinnitus
Meniere’s disease
Xerophthalmia
Vitamin A deficiency
Yellow sclera
Jaundice (icterus) or carotenemia
Yellow plaque in upper medial eyelid
Xanthelasma (hyperlipidemia)