Ear/Eye
Nose
Name this Tune
Exams
Ad Hoc
100
Name the auditory ossicles of the middle ear
Malleus
Incus
Stapes
100
Detail:
Allergic rhinitis
vs
Acute sinusitis
Allergic rhinitis: Rhinorrhea, itching of nose and eyes, nasal congestion, note swelling of turbinates , strong family history of seasonal allergies
Acute sinusitis: Clear watery drainage, later will be purulent. Turbinates turn dark red and swollen
100
What am I called:
High -pitched, sound during inspiration and expiration DO NO clear with coughing
Noted with : pneumonia, CHF, Asthma, emphysema, chronic bronchitis, and restrictive disease
100
Name the Cranial nerves and tests
100
How to palpate the thyroid gland
200
I am shiny, translucent with a pearl-gray color?
What am I
Tympanic Membrane
200
I look like a hump or shelf in one of the nasal cavity.
What am I?
Deviated septum
200
What am I?
I am high pitched
musical, squeaking sounds, can be heard in inspiration or expiration (mostly expiration)
Asthma or emphysema - obstructive lung disease
Wheezes (Sibilant)
200
Describe the Rinne Test
Describe the Weber Test
200
I help breathe
Name me
300
How do you use:
Stethoscope
Ophthalmoscope
Otoscope
Stethoscope: diaphragm used for high pitched sounds, heart and bowel sounds. The bell used for deep hollow cuplike shape low pitched and "extra"heart sounds or murmurs
Ophthalmoscope: Internal eye structure (assessment)
Otoscope: Ear assessment - Pinna up and back on an adult
Pinna down on an infant or child younger than 3 yrs old
hold otoscope upside down for exam
300
I am the most common type of nose bleed
Where am I
Kiesselbach plexus - I am in the anterior septum
300
I am superficial and make a rubbing sound what am I?
course, low pitched, like two pieces of leather rubbing together
I am inflamed pleura surfaces rubbing together
Pleuritis, painful to breathe
300
I am a palpable vibration and found by touching a person's chest with the balls of fingers while the patient repeats "ninety-nine" or "blue moon"
What am I?
Tactile fremitus - Indicates obstructed transmission of vibrations
Causes: obstructed bronchus, pleural effusion, pneumothorax, emphysema
300
The largest bone in the human skull. It holds the lower teeth in place, it assists in mastication and forms the lower jawline. composed of the body and the ramus and is located inferior to the maxilla. The body is a horizontally curved portion that creates the lower jawline.
What am I - Mandible
400
Name eye tests for assessment
Snellen (visual acuity) CN II
PERRLA - Accommadation - CN III
Extraocular Muscle - CN III, IV, VI
Nystagmus, Convergence
400
Grade tonsils
Which is worse and needs intervention
When would you see the change in tonsils
400
I am musical, snoring or moaning
I clear with coughing
Low pitched and I am associated with Bronchitis
400
I am caused by some allergic reaction
I have diminished breath sounds
I have SOB, wheezes (audible), prolonged expiration
chronic - may have a barrel chest
What am I?
Asthma (Reactive airway disease)
400
I am a sunken sternum, congenital, and more noticeable with inspiration
I occur at the 2nd intercostal space, becoming most depressed at the xiphoid with body of sternum
What am I?
I am Pectus Excavatum 
500
I adapt for the eye - near vision by increasing the curvature of the lens.
What am I?
Accommodation
500
CSF assists the brain by providing protection, nourishment, and waste removal.
Cerebrospinal fluid is a clear, colorless body fluid found within the tissue that surrounds the brain and spinal cord of all vertebrates. CSF is produced by specialized ependymal cells in the choroid plexus of the ventricles of the brain, and absorbed in the arachnoid granulations.
Leaks are serious
Should not contain a bloody - Intracranial bleed - hemorrhage
Should not be cloudy - infection - could be bacterial
Cerebral Spinal Fluid
500
i am high pitched
I am very dangerous
i am very close to an obstructed airway
I am in the upper airway or larynx, inflamed tissue or lodged foreign body
Croup, epiglottitis or foreign body in airway
500
I am free air in the pleural space
I can happen spontaneous or traumatic and even tension
Unequal chest expansion, tachy, SOB, cyanotic, absent or decreased breath sounds and BP will be decreased
Pneumothorax
500
I am assessing anterolateral wall along the costal margins with my thumbs pointing toward the xiphoid process
What am I?
The anteroposterior diameter
Increased: emphysema
Decreased: atelectasis, pneumonia, post op guarding