Head/Neck
Sunken fontanelles
Severe dehydration and a red flag
inflammation of the eyelid
associated with acne rosacea
itching, tearing, and redness
blepharitis
Appears as an intact, ovoid, semitransparent, pearly gray membrane at the end of the ear canal.
The tympanic membrane
The most common cause for epistaxis
Nose picking
1. To assess for strabismus use the Bruckner test, checking for ________ simultaneously in both eyes. Use this to screen for cataracts, glaucoma, and retinoblastoma in an adult patient.
Vs.
2. ________ is normal in a newborn eye exam
Red reflex
Should be observed for mobility, consistency, and tenderness.
Lymph nodes that are palpated
occasionally manifests with unilateral proptosis
Graves’ disease
Common inflammatory condition of the external ear canal, most often caused by Pseudomonas aeruginosa. The prominent symptom is severe ear pain (otalgia) accentuated by manipulation of the pinna and especially by pressure on the tragus.
Acute otitis externa
Subjective questions for the nose should focus on which specific symptoms?
Obstruction
Bleeding
Discharge
0 = removed
1+ = barely visible
2 += normal
3 += large and almost touching
4 += kissing
Estimated scale for documenting tonsil size
1. Suggestive of inflammation
Vs.
2. Fixed, firm
1. Tender lymph nodes
vs.
2. Lymph nodes consistent with a malignancy.
- rapid onset
- vision rapidly lost, intermittently
- severe pain
- vomiting, HA, seeing halos
- steamy window cornea
- dilated, oval, nonreactive pupils
- watery discharge
Narrow-angle glaucoma diagnosis criteria
Constitutional symptoms of fever and malaise, often associated with gastrointestinal problems and a conductive hearing loss
Acute otitis media
Causes thin watery nasal discharge
Viral
Allergy
Red Flag: CSF
A benign condition in which the dorsum of the tongue has smooth, localized red areas, denuded of filiform papillae, surrounded by well-defined, raised yellowish-white margins and normal filiform papillae.
Geographic tongue
- male
- rapid onset
- change in voice
- only one
- palpable lymph nodes
Characteristics of malignant thyroid nodules
smooth, transparent, clear without cloudiness, ulceration, or opacities
Expected cornea findings
In patients with unilateral sensorineural deafness, the sound is not heard on the affected side but is heard by, or localized to, the unaffected ear.
Abnormal Weber test
foreign body in nose
sinusitis
malignant disease
Possible causes of foul smelling nasal discharge
foreign body
infection/effusions (most common)
perforated tympanic membrane
otitis media, externa
otosclerosis
Conductive hearing loss causes
Neck Mass
Neck Stiffness
Most common symptoms related to the neck.
- sudden onset
- gritty feeling
- frequently both eyes are affected
- mucopurulent or watery discharge
Acute Conjunctivitis
Air Conduction is greater than Bone Conduction
After striking the tuning fork the sound can be heard at the external auditory meatus after the sound can no longer be heard it on the mastoid
Positive Rinne Test
Normal nasal mucous membranes are described as:
Dull red and moist and have a smooth, clean surface
Microaneurysms
Neovascularization
Retinitis proliferans
Hard exudate
Hemorrages
Retinal venous occlusions
Diabetic retinopathy assessment findings