Ears/Eyes
How are conductive and sensorineural hearing tested? Testing which CN?
Whisper, Rinne, Weber (CN VIII)
Sense of smell is testing which CN?
CN I
How do you grade tonsils which occupy 50-75% of the oropharynx?
When do the frontal sinuses develop?
What is 7-8 years old?
Where are details of the patients current problem documented?
What are history of present illness? (subjective)
autosomal recessive disorder in which the genetic defects cause cell death
retinitis pigmentosa
Bacterial Infection of one or more paranasal sinuses
sinusitis?
Infection of the tonsils or posterior pharynx
Acute bacterial pharyngitis
How should gas bubbles sound?
tympanic, drum like with loud intensity and high pitch
Patient brings BP log from home, where do you chart the readings
Subjective data because it is information collected by patient prior to appointment.
During the Weber test, the patient states that the right ear hears the vibrations more than the left. Wheat does this mean for the right ear?
The patient is experiencing conductive hearing loss in the right ear
dot hemorrhages or micro aneurysms and the presence of hard and soft exudates
nonproliferative diabetic retinopathy
Chronic infection of the gums, bones, and other tissues surrounding the teeth
Periodontitis
What sinuses are present at birth?
Ethmoid and maxillary?
creamy white appearance of retinal vessels that occur with excessively high triglyceride levels
lipemia retinalis
infection of the fluid in the middle ear
acute otitis media
interruption of of sympathetic nerve innervation to the eye
horner syndrome
Most common craniofacial congenital malformation
oropharyngeal clefts
What is considered a normal Rinne test?
AC heard twice as long as BC
TM is bulging with no mobility
middle ear effusion due to pus or fluid
Swimmers typically develop this infection.
otitis externa
Disruption of the corneal epithelium and stroma
corneal ulcer
White, irregular lesions on the lateral side of tongue or buccal mucosa; may have prominent folds or "hairy" projections
oral hairy leukoplakia
when palpating the eyes, what should you feel?
you should feel the orbit gently move inward without pain to the patient.
how to approach sensitive issues when interviewing a patient
provide privacy, be direct and firm, do no preach, do not apologize, avoid asking leading questions