HEENT Exam - Findings and Significance Flashcards

(58 cards)

1
Q

AC twice as long as BC

A

normal

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2
Q

AC/BC are both decreased in one ear

A

Nerve conduction disease

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3
Q

BC > AC with Rinne test

A

Serous otitis media

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4
Q

Bilateral dilated pupils

A

Cocaine, barbiturate or amphetamine abuse

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5
Q

Bilateral pinpoint pupils

A

Heroin use

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6
Q

Bilateral swollen optic discs (papilledema)

A

Raised intracranial pressure; brain tumor

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7
Q

Blue sclera in infant with many fractures

A

Osteogensis imperfecta

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8
Q

Blurred margins of macula or pigmentation

A

Macular degeneration

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9
Q

Copper or silver wiring of retinal arterioles

A

Hypertensive retinopathy

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10
Q

Cupped optic disc

A

Chronic glaucoma

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11
Q

Enlarged tongue (macroglossia)

A

Hypothyroidism in infants

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12
Q

exophthalmos

A

Hyperthyroidism or orbital tumor

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13
Q

Flame hemorrhages and dots (microaneurysms)

A

Diabetic retinopathy

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14
Q

Foul purulent unilateral nasal discharge

A

Sinusitis or foreign body in nose

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15
Q

Goiter with brittle dry course hair

A

myxedema (hypothyroidism)

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16
Q

Goiter with exophthalmos or tachycardia

A

Graves disease

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17
Q

Gray ring around cornea (arcus senilis)

A

hyperlipidemia

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18
Q

Hears better in one ear with Weber test

A

Problem with one of the ears

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19
Q

Large head in child with open fontanelles

A

hydrocephalus

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20
Q

Lid lag

A

hyperthyroidism

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21
Q

Loss of red pupil light reflex

A

Cataract or neuroblastoma

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22
Q

Loss of outer third of eyebrow

A

hypothyroidism or leprosy

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23
Q

Midline neck mass moves with tongue

A

thyroglossal cyst

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24
Q

Midline bony mass in the hard palate

A

Torus palatinus

25
Mucopurulent discharge from ear
Otitis media
26
Nasal septum perforation
Cocaine abuse
27
Pale conjunctiva
anemia
28
Periorbital edema
cellulitis, cavernous sinus thrombosis
29
Painful boil on the margin of the eyelid
External style (hordeolum)
30
Painful red eye with purulent discharge
conjunctivitis
31
Painful eye with circumcorneal redness
iritis
32
Painful red eye with tense eyeball
Acute glaucoma
33
Painless boil on the inside of an eyelid
Internal style (chalazion)
34
Pain on pulling the ear up and backwards
Otitis externa
35
Pale swollen bluish nasal mucosae
Chronic allergies
36
Ptosis: bilateral
Myasthenia gravis, Lambert Eaton syndrome
37
Ptosis: unilateral
Horner's syndrome
38
Puffy eyelids, especially in the mornings.
Renal dysfunction
39
Pupil accommodates but does not react to light
Argyll Robertson pupil (tertiary syphilis)
40
Pupil is dilated and reacts poorly to light
Adie's pupil
41
Pupil is small and constricted (miosis)
Horner's syndrome
42
Red bulging tympanic membrane
Otitis media
43
Retracted tympanic membrane
Eustachian tube blockage
44
Scales on eyebrows
seborrheic dermatitis
45
Swollen itching eyelids
blepharitis
46
Tophus on helix of ear
Chronic gout
47
Tongue- beef red color
Vitamin B12 deficiency
48
Tongue - magenta color
Riboflavin deficiency
49
Tongue - pale
Iron deficiency
50
Triangular fleshy growth in medial side of sclera
Pterygium
51
Turned in eyelids
entropion
52
Turned out eyelids
ectropion
53
Unilateral swollen tonsil with severe sore throat
Peritonsillar abscess
54
Yellow thickening of the bulbar conjunctiva
Pinguecula
55
Vertigo with healing loss and tinnitus
Meniere's disease
56
Xerophthalmia
Vitamin A deficiency
57
Yellow sclera
Jaundice (icterus) or carotenemia
58
Yellow plaque in upper medial eyelid
Xanthelasma (hyperlipidemia)