Shared Flashcard Set

Details

549 Module 7
HEENT
31
Nursing
Graduate
10/13/2011

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Cards

Term
What are the 7 bones of the head?
Definition
-2 frontal
-2 temporal
-2 parietal
-1 occipital
Term
What hx questions are asked after head trauma?
Definition
-description of event
-state of consciousness after injury
-predisposing factors
---seizures
---poor vision
---poor lighting
---light-headeness
Term
What should be looked for in observation of the head?
Definition
-tremors
-nodding movements
-tilting
Term
What is a cause of facial asymmetry?
Definition
Bell's palsy
Term
Suspect ___?___ when the entire side of the face is affected, but ___?___ when the lower face is affected.
Definition
-facial nerve paralysis
-facial nerve weakness
Term
___?___ may be associated with degeneration of or pressure on the facial nerve.
Definition
Tics
Term
Bilateral watery nasal discharge with sneezing may suggest ___?___
Definition
allergies
Term
Unilateral watery nasal discharge after head trauma may suggest ___?___
Definition
CSF
Term
Unilateral purulent nasal discharge may suggest ___?___
Definition
foreign body
Term
The nasal speculum should stay to the ___?___ side when inserted into the vestibule.
Definition
lateral
Term
What is the color of normal nasal mucosa?
Definition
deep pink
Term
What does red nasal mucosa indicate?
Definition
-infection
Term
What does pale or blue nasal mucosa indicate?
Definition
-allergy
Term
How would a nasal polyp appear on inspection?
Definition
-round elongated mass projecting into the nasal cavity
Term
How would a nasal furuncle appear on inspection?
Definition
-localized redness in the vestibule
Term
What hx indicates sinusitis?
Definition
-facial pain
-HA
-purulent rhinorrhea
-URI ~10 days prior
Term
What exam techniques are used to assess the sinuses? What are positive results?
Definition
-inspection: swelling
-palpation: tenderness
-percussion: tenderness
-transillumination: opaque,dull
-bend head down, then straighten: discomfort
Term
How are the frontal sinuses palpated?
Definition
press up under the bony brow on each side of the nose
Term
How are the maxillary sinuses palpated?
Definition
press up under zygomatic processes with thumbs or index and middle fingers
Term
What are causes of gum hypertrophy?
Definition
-pregnancy
-puberty
-phenytoin (Dilantin)
-leukemia
Term
What are causes of easy gum bleeding?
Definition
-leukemia
-blood dyscrasias
Term
What are causes of a blue-black line 1 mm from the gum margin?
Definition
-chronic lead poisoning
-chronic bismuth poisoning
Term
The anterior portion of the tongue has thinner mucosa than the posterior. T/F
Definition
false- posterior is thinner
Term
What are features of a geographic tongue?
Definition
superficial denuded circles or irregular areas exposing the tips of the papillae
Term
What are signs of a niacin or B12 deficiency?
Definition
red tongue with a slick appearance
Term
What tongue features may follow antibiotic therapy?
Definition
-hairy
-yellow-brown to black enlarged papillae
Term
What are the grades of tonsil size and their meaning?
Definition
+1: barely visible
+2: halfway to uvula
+3: nearly touching uvula
+4: kissing, touching each other
Term
What may be seen in the posterior pharynx with sinusitis?
Definition
green or thick yellow postnasal discharge
Term
Where are epitrochlear lymph nodes located?
Definition
3 cm above the elbow
Term
___?___ lymph nodes include horizontal and vertical arrangement.
Definition
Inguinal
Term
What are the functions of the lymph system?
Definition
-engulf invading pathogens
-produce antibodies
-drain lymphatic fluid
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