Shared Flashcard Set

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537 Exam
HEENT & Lymph
33
Nursing
Graduate
10/12/2011

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Cards

Term
The anterior fontanel measures ___?___ at birth.
Definition
4-6 cm
Term
97% of anterior fontanels close between ___?___ and ___?___ months.
Definition
9-19 months
Term
The posterior fontanel measures ___?___ at birth.
Definition
1-2 cm
Term
The posterior closes between ___?___ and ___?___.
Definition
2 weeks/2 months and 6 months
Term
craniosynostosis definition
Definition
premature closing of sutures
Term
torticollis definition
Definition
wry neck
Term
What is normal visual acuity at 1 month?
Definition
20/400
Term
What is normal visual acuity at 4 mos?
Definition
20/300
Term
What is normal visual acuity at 1 yr?
Definition
20/180
Term
What is normal visual acuity at 3 yr?
Definition
20/40
Term
What is normal visual acuity at 5 yr?
Definition
20/30
Term
Unable to visualize fundus in young children, but necessary to visualize ___?___.
Definition
red reflex
Term
leukocoria definition
Definition
-white pupillary reflex produced by reflection of light from a light colored intraocular mass or structure
-needs immediate referral
Term
What are some causes of leukocoria?
Definition
-retinoblastoma
-colobomas
-congenital cataracts
-high myopia retinal detachment
-retinopathy of prematurity
-uveitis
-blindness
Term
coloboma definition
Definition
potentially benign hole in a structure of the eye
Term
retinoblastoma definition
Definition
rapidly developing CA of retina
Term
strabismus definition
Definition
eyes not properly aligned, preventing binocular vision
Term
How is strabismus detected?
Definition
-corneal light reflex/Hirschberg
-cover/uncover test
Term
How is the corneal light reflex/Hirschberg test performed?
Definition
flashlight shined directly into eyes from 12-18 in away
Term
pseudostrabismus definition
Definition
false appearance of strabismus due to infants' and toddlers' wide, flat noses
Term
What causes amblyopia/lazy eye?
Definition
-anisometria: eyes have different refractive power, different states of myopia and hyperopia
-cortex suppresses incoming messages bc they are too different and the eye is not used
Term
What contributes to middle ear effusions and acute otitis media in infants?
Definition
short, horizontal eustachian tubes
Term
How is the pneumatic exam performed? Why?
Definition
-appropriate sized ear speculum with soft tip and good seal
-evaluate pressure behind TM
Term
In children < 3 yo, pull the pinna ___?___ to straighten the ear canal.
Definition
down and back
Term
In children > 3 yo, pull the pinna ___?___ to straighten the ear canal.
Definition
up and back
Term
umbo definition
Definition
small, white, almost central dot near the end of the cone of light
Term
What are the bones of the inner ear?
Definition
-malleus
-incus
-stapes
Term
The ___?___ sinuses are small but present at birth and may cause problems for infants and toddlers.
Definition
sphenoid
Term
The frontal sinuses develop between ___?___ and ___?___ years old.
Definition
4-7
Term
The ___?___ and ___?___ sinuses are tiny but present at birth.
Definition
ethmoid and maxillary
Term
geographic tongue/benign migratory glossitis definition
Definition
inflammatory condition characterized by discolored regions of taste buds and even cracks
Term
otitis media with effusion definition
Definition
collection of fluid in middle ear space
Term
What are findings with otitis externa?
Definition
-drainage or crusts
-tenderness with movement of tragus
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