HEENT

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Familial Tendencies (genetic) related to HEENT issues are?

Cataracts, glaucoma, Sensorineural hearing loss, Meniere's disease, hyperthyroidism are conditions that are?

Tension Headache (characterized by)?

Vicelike, front or back of head pain (indicates which type of headache)?

Migraine Headache (characterized by)?

Throbbing, unilateral pain, may have visual disturbances, may correlate to menstrual cycle, relief with rest (what type of headache?)

Cluster Headache (characterized by)?

Burning, stabbing pain, unilateral, behind ear, temple forhead and/or cheek, may have nasal stuffiness/discharge, drooping eyelids and be relieved with movement (which type of headache)

Sinus Headache (Characterized by)?

Over frontal or maxillary sinuses (type of headache)

Dizzyness

Feeling of faintness (is called?)

Vertigo

Sensation that environment is whirling around (is called)

What distinguishes dizzyness from vertigo?

Sensation of movement (distinguishes what from what?)

Sudden onset of visual disturbances indicates

Detached retina (what is a sign of)

Visual Disturbance in one eye indicates

Local problem (indicated by how many affected eyes)

Visual disturbances in both eyes indicates

System problem (indicated by how many affected eyes)

Sudden onset hearing loss

if not associated with ear or respiratory infections, requires further examination (type of hearing loss)

Gradual hearing loss

associated with aging (type of hearing loss)

Presbycusis (is)

gradual loss of sensorineural hearing that occurs as the body ages (name for this)

Tinnitus (description of)

a ringing or booming sensation in one or both ears, heard only by client (term for)

Pain due to External or Ear Canal Infection (made worse by what)

Movement of ear (increase pain of ear infection located where)

Otitis Media

inflammation or infection of the middle ear

Nasal discharge of bacterial infection

thick/purulent, green-yellow nasal discharge (indicates what)

Nasal Discharge of chronic sinusitis

foul smelling, unilateral nasal drainage (indicates what)

Nasal Discharge of allergies

Profuse, watery nasal drainage (indicates what)

Bloody Nasal Discharge indicates

Neoplasm, trauma or opportunistic infection (indicated by what type of discharge)

Epistaxis (is)

bleeding from the nose (called what)

Allergic Rhinitis (associated sx. besides nasal drainage are)

itchy, swollen nasal membranes, eye drainage, post nasal drip, cough (associated sx. of what?)

Mouth lesions that are due to Oral cancer (assoc. sx)

bleeding, lumps or thickened areas in mouth (indicate what when paired with mouth lesions)

Mouth lesions that are due to Infection or cancer of mouth (an assoc. sx)

swollen lymph nodes (may indicate what when paired with mouth lesions)

Mouth lesions that are due to STDS (assoc. sx)

Lesions on genital areas (may indicate what when paired with mouth lesions)

Supplies for an HEENT examination (6)

1.Otoscope
2.Penlight
3. Shellen's chart or E chart
4. Rosenbaum or Jaeger chart
5.Cover card
6. Tongue blade

(tools for what examination)

Palpebral fissures

The opening for the eyes between the eyelids (are called)

Nasolabial fold

skin crease in the cheek from the nose to the lip at the corner of the mouth (is called)

Chart used to test distance vision

Shellen's Chart (used to test what type of vision)

Chart used to test near vision

Jaeger or Rosenbaum Card (used to test what type of vision)

Near vision tested in (type of populace)

Those over 40 years of age or with difficulty reading (should have what type of vision tested)

Limbus

the border between the cornea and the sclera (called what)

Conjunctiva

mucous membrane lining the eyelids and covering the anterior portion of the sclera (is what)

Corneal Light Reflex (describe test)

also known as the Hirschberg test, assesses parallel alignment; have pt look straight ahead, shine light from 12" and look for reflection on corneas in exactly the same position in both eyes; asymmetry indicates deviation in alignment from eye muscle weakness or paralysis (what reflex)

Corneal light reflex test shows a client has weak extraocular muscles. What test should be performed?

Cover-uncover test (performed if what condition is observed in a corneal light reflex test?)

Sclera

whitish fibrous membrane (albuginea) that with the cornea forms the outer covering of the eyeball

Slightly yellow sclera (normal or abnormal?)

Normal in dark skinned clients (what pigmentation of sclera?)

cornea

transparent anterior portion of the outer covering of the eye (is called)

Iris

muscular diaphragm that controls the size of the pupil (is called)

6 Cardinal Fields of vision tests (which CN)

CN III, IV, VI (tested through what)

Cover/Uncover test

A test to detect strabismus in which one eye focusing on a given point is covered; if the uncovered eye moves, strabismus is present (what is name of this test)

Pinna

the externally visible cartilaginous structure of the external ear (is called what)

Cerumen

a soft yellow wax secreted by glands in the ear canal

Flared Nostrils

Abnormal (state of nostrils)

Narrowed Nostrils

Abnormal (state of nostrils)

Nasal Patentcy Test (describe)

Apply pressure to occlude 1 nostril, instruct client to sniff through opp. nostril with mouth closed. (name of test)

Vermillion border

line around the lips (called)

Normal color of teeth

gray, yellow or white (normal color of what?)

Buccal Mucosa

Mucous membrane lining the cheek.

Uvula

a small pendant fleshy lobe at the back of the soft palate

Preauricular Lymph Node

Located just in front of the ear; nodes drain the superficial tissues and skin on the lateral side of the head and face (which lymph node)

Parotid Lymph Node

Located along jaw angle

Post-auricular lymph node

located behind ears

Occipital lymph node

located at base of skull

Submental/submandibular lymph node

located under the mandible

Anterior and posterior cervical chain of lymph nodes

located within neck

Supraclavicular lymph nodes

located under the clavicle

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