Abnormal squamous epithelial tissue behind the tympanic membrane
What is cholesteatoma?
The first part of the ear exam should include
What is looking at the outer ear and palpation
You are testing what nerve when you have patient extend tongue
What is 12?
Lips have increased vertical markings and appear dryer. Buccal mucosa is thinner, less vascular and shiny. tongue may have fissures and veins on ventral surfaces. Oral tissue may be dryer.
What are normal findings?
When you ask the patient to clench their teeth, what cranial nerve are you assessing?
What is seven?
Otitis externa is common in what type of patient?
What are swimmers and breast or bottle fed children?
Steps for examining the external ear
Pull tragus and palpate the preauricular and postauricular lymph nodes and mastoid area - basically right in front of the ear and right under/behind lobe
When you test the gag reflex, which cranial nerves are you testing?
9 and 10
What can lead to weight loss in an elderly resident, that is related to tooth and mouth care.
What is poor oral health?
I just stuck a 'wisp of cotton' to your cornea, what am I testing.
what is your ability to punch me in the face?
NO. It's cranial nerve numbers 5 and 7!! You can blink now.
If a patient complains of ear pain lasting over 2 weeks, what should you check?
You should palpate the mastoid for erythema. Could be mastoiditis.
This test involves placing the tuning fork over mastoid process and then place in front the other ear. It tests bone conduction
What is Rinne test?
Name tests that you would order if the patient has unhealing oral ulcers
What is HIV and syphilis?
Another name for dry mouth, that can lead to tooth decay
What is xerostomia?
If you don't blink when I stick cotton in your eye you might have a problem related to what diseases...name anything
The decreased corneal sensation is associated with diabetes, herpes simplex, and zoster, trigeminal neuralgia or ocular surgery
What is the Hallpike maneuver
In this test you place the tuning fork midline of the skull and hearing should be the same in both ears.
What is the Weber test?
If the uvula deviates from midline then you should suspect a problem on what side of the uvula.
Opposite side from deviation.
What is the lens?
oops
Inner ear. Episodes of hearing loss, vertigo, tinnitus, and ear fullness
What is Meniere disease?
What color should the auricles be?
The same as the patient's skin
This is the number one thing you should document on a sinusitis patient to differentiate viral from bacterial infection
What is the length of symptomology?
What causes teeth to appear longer in elderly patients?
See above
Ditto