HEENT Exam - Findings and Significance Flashcards Preview

BR23 General Diagnosis > HEENT Exam - Findings and Significance > Flashcards

Flashcards in HEENT Exam - Findings and Significance Deck (58)
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1
Q

AC twice as long as BC

A

normal

2
Q

AC/BC are both decreased in one ear

A

Nerve conduction disease

3
Q

BC > AC with Rinne test

A

Serous otitis media

4
Q

Bilateral dilated pupils

A

Cocaine, barbiturate or amphetamine abuse

5
Q

Bilateral pinpoint pupils

A

Heroin use

6
Q

Bilateral swollen optic discs (papilledema)

A

Raised intracranial pressure; brain tumor

7
Q

Blue sclera in infant with many fractures

A

Osteogensis imperfecta

8
Q

Blurred margins of macula or pigmentation

A

Macular degeneration

9
Q

Copper or silver wiring of retinal arterioles

A

Hypertensive retinopathy

10
Q

Cupped optic disc

A

Chronic glaucoma

11
Q

Enlarged tongue (macroglossia)

A

Hypothyroidism in infants

12
Q

exophthalmos

A

Hyperthyroidism or orbital tumor

13
Q

Flame hemorrhages and dots (microaneurysms)

A

Diabetic retinopathy

14
Q

Foul purulent unilateral nasal discharge

A

Sinusitis or foreign body in nose

15
Q

Goiter with brittle dry course hair

A

myxedema (hypothyroidism)

16
Q

Goiter with exophthalmos or tachycardia

A

Graves disease

17
Q

Gray ring around cornea (arcus senilis)

A

hyperlipidemia

18
Q

Hears better in one ear with Weber test

A

Problem with one of the ears

19
Q

Large head in child with open fontanelles

A

hydrocephalus

20
Q

Lid lag

A

hyperthyroidism

21
Q

Loss of red pupil light reflex

A

Cataract or neuroblastoma

22
Q

Loss of outer third of eyebrow

A

hypothyroidism or leprosy

23
Q

Midline neck mass moves with tongue

A

thyroglossal cyst

24
Q

Midline bony mass in the hard palate

A

Torus palatinus

25
Q

Mucopurulent discharge from ear

A

Otitis media

26
Q

Nasal septum perforation

A

Cocaine abuse

27
Q

Pale conjunctiva

A

anemia

28
Q

Periorbital edema

A

cellulitis, cavernous sinus thrombosis

29
Q

Painful boil on the margin of the eyelid

A

External style (hordeolum)

30
Q

Painful red eye with purulent discharge

A

conjunctivitis

31
Q

Painful eye with circumcorneal redness

A

iritis

32
Q

Painful red eye with tense eyeball

A

Acute glaucoma

33
Q

Painless boil on the inside of an eyelid

A

Internal style (chalazion)

34
Q

Pain on pulling the ear up and backwards

A

Otitis externa

35
Q

Pale swollen bluish nasal mucosae

A

Chronic allergies

36
Q

Ptosis: bilateral

A

Myasthenia gravis, Lambert Eaton syndrome

37
Q

Ptosis: unilateral

A

Horner’s syndrome

38
Q

Puffy eyelids, especially in the mornings.

A

Renal dysfunction

39
Q

Pupil accommodates but does not react to light

A

Argyll Robertson pupil (tertiary syphilis)

40
Q

Pupil is dilated and reacts poorly to light

A

Adie’s pupil

41
Q

Pupil is small and constricted (miosis)

A

Horner’s syndrome

42
Q

Red bulging tympanic membrane

A

Otitis media

43
Q

Retracted tympanic membrane

A

Eustachian tube blockage

44
Q

Scales on eyebrows

A

seborrheic dermatitis

45
Q

Swollen itching eyelids

A

blepharitis

46
Q

Tophus on helix of ear

A

Chronic gout

47
Q

Tongue- beef red color

A

Vitamin B12 deficiency

48
Q

Tongue - magenta color

A

Riboflavin deficiency

49
Q

Tongue - pale

A

Iron deficiency

50
Q

Triangular fleshy growth in medial side of sclera

A

Pterygium

51
Q

Turned in eyelids

A

entropion

52
Q

Turned out eyelids

A

ectropion

53
Q

Unilateral swollen tonsil with severe sore throat

A

Peritonsillar abscess

54
Q

Yellow thickening of the bulbar conjunctiva

A

Pinguecula

55
Q

Vertigo with healing loss and tinnitus

A

Meniere’s disease

56
Q

Xerophthalmia

A

Vitamin A deficiency

57
Q

Yellow sclera

A

Jaundice (icterus) or carotenemia

58
Q

Yellow plaque in upper medial eyelid

A

Xanthelasma (hyperlipidemia)