EENT: Eye See, Ear Hear
This instrument is used to examine the external auditory canal and tympanic membrane.
What is the otoscope?
"What brings you in today" is an example of this type of question.
What is an open-ended question
A flat, nonpalpable skin lesion less than 1 cm in diameter is called.
What is a macule?
The normal S1 heart sound is produced primarily by closure of these two heart valves.
What are the mitral and tricuspid valves?
Normal breath sounds heard over most peripheral lung fields are called this.
What are vesicular breath sounds?
During an eye exam, this finding means the pupils are equal, round, reactive to light and accommodate.
What is PERRLA?
Location, quality, severity, timing, setting, and associated symptoms are components of this part of the history.
What is History of Present Illness (HPI)?
A solid, elevated, palpable lesion less than 1 cm is called.
What is a papule?
The point of maximal impulse (PMI) is normally found at this location in adults.
What is the left 5th intercostal space (ICS) at teh midclavicular line? (FYI: 4th for children)
This discontinous, popping breath sound, commonly results from air moving though fluid or reopening collapsed small airways.
What are crackles (rales)?
When examining an adult with an otoscope, the examiner pulls the auricle in these directions.
What is up and back?
"The pain doesn't go into your arm, does it" is an example of this interviewing mistake
What is a leading question?
Asymmetry, border irregularity, color variation, diameter and evolution (ABCDE) mnemonic is used for.
This heart sound occurs immediately after S2 and may be associated with volume overload or heart failure in adults.
What is an S3?
This continuous, high-pitched musical sound is typically associated with narrowed airways.
What is wheezing?
A patient has lateralization to the left ear on Weber testing with BC > AC of the left ear on Rinne. This type of hearing loss is suggested.
What is conductive hearing loss?
"I haven't been taking my blood pressure medication". Before educating your patient, you should ideally respond using this interviewing approach.
What is asking non-judgemental open-ended questions?
A nonblanching, pinpoint red or purple lesion measuring less than approximately 2 mm is this.
What are petechiae?
What is aortic stenosis?
Increased tactile fremitus, dullness to percussion and bronchial breath sounds over a peripheral lung field suggest this process.
What is consolidation/pneumonia?
A patient reports severe ey pain, headache, nausea, blurred vision and halos around lights. The affected pupil is mid-dilated and poorly reactive. This diagnosis require urgent evaluation.
A 52-year-old presents with "heartburn"/ Before assuming a GI cause, the history should explore these life-threatening associated symptoms.
What are chest pain/pressure, dyspnea, diaphoresis, nausea, exertion symptoms and radiating to the jaw, arm or back?
A patient has a rapidly spreading, warm, tender, erythematous area of the lower extremity with poorly defined borders. This diagnosis should be high on the differential list.
What is cellulitis?
A patient has chest pressures with exertion, diaphoresis, nausea and radiation of pain to the left arm. Physical exam is normal. This finding does not rule out.
What is acute coronary syndrome?
A patient develops sudden dyspnea and unilateral chest pain. Examination reveals absent breath sounds, hyperresonance, and decreased tactile fremitus on the affected side.
What is a pneumothorax?