Term
| what gives the best diagnostic impression |
|
Definition
|
|
Term
| what part of the exam confirms the diagnostic impression |
|
Definition
|
|
Term
| what is the most important part of the history, what needs to be added to it |
|
Definition
| CC, ask about other related illnesses |
|
|
Term
| what two parts of the history are updated each visit |
|
Definition
| medications and allergies |
|
|
Term
| what are the 4 important parts of the social history |
|
Definition
| tobacco, alcohol, occupation, ilicit drugs |
|
|
Term
| what is the main issue with tobacco |
|
Definition
| it is mutagenic, especially cigarettes |
|
|
Term
| where can tobacco cause cancer (9) |
|
Definition
| nasopharynx, oral cavity, oropharynx, hypopharynx, larynx, esophagus, lung, bladder, prostate cancer |
|
|
Term
| head and neck mucosal cancer can be _____ or _____ meaning it can occur in many sites |
|
Definition
| multicenteric or field cancerization |
|
|
Term
| how can you tell the risk of a smoker getting laryngeal SCC |
|
Definition
| liner relationship between number of cigarettes smoked |
|
|
Term
| what is the pack a year history |
|
Definition
| total years smoke x number of packs a day during that time |
|
|
Term
| what should be asked about alcohol in the social history (2), what assumption is made |
|
Definition
average number a drinks per day week or month
how many years drinking
patients underestimate their consumption |
|
|
Term
| heavy alcohol and tobacco consumption increases the risk of _______ in the ______ by _____ times |
|
Definition
cancer
upper artodigestive
15 times |
|
|
Term
| after the diagnosis and plan it is always importan to... |
|
Definition
| schedule a follow up visit |
|
|
Term
| what tools are needed for an EENT exam 7 |
|
Definition
otoscope
light source
nasal speculum
tongue blades
laryngeal mirrior
flexible fiberoptic nasolaryngeoscope
good hands |
|
|
Term
| what is the pack a year history when the risk of cancer or disease increases at an exponential rate |
|
Definition
| 20 pack a year history (a pack a day for 20 years) |
|
|
Term
| what is the most important tool in a physical exam |
|
Definition
|
|
Term
| what are the things nursing does in the physical exam, give a disease exampl they could find (5) |
|
Definition
blood pressure - hypertension
heart rate - bradycardia
RR - tachypena
weight - osa
temp - febrile illness |
|
|
Term
| 4 things to look for in the overall appearance of the face |
|
Definition
ill looking
deformities
changes in texture or color
swelling |
|
|
Term
| 8 things to look for in the overall appearance of the ears |
|
Definition
deformities
congenital abnormalities
position
symmetry
mastoid erythema
edema
tenderness
preauricular puts or apendages |
|
|
Term
| intranasal exam 7 things to look for |
|
Definition
discoloration of mucosa
turbinate hypertrophy
turbinate deformity
rhinorrhea
septal deviation
foreign bodies
nasal polyps
tumors |
|
|
Term
| oral mucosa: 4 things to look for |
|
Definition
| discolorations, ulcerations, masses, moisture or dryness |
|
|
Term
| oral cavity or oropharynx; 7 things to look at |
|
Definition
major and minor salivary glands
tonge
tonsils
palate
uvula
floor of mouth
dentition |
|
|
Term
|
Definition
| percuss over ethmoid, maxillary, and frontal sinuses |
|
|
Term
|
Definition
palpate 5 areas vierously and divide into triangles
estimate size and location |
|
|
Term
| what is the most common CC for thyroid issues |
|
Definition
|
|
Term
| what are the parts of the thyroid exam 7 parts |
|
Definition
palpation
location
biloped and isthmus
parathyroids
associated structures
symmetry
nodules |
|
|
Term
| how should the thyroid be palpated |
|
Definition
fron the front to the rear
ask to swallow
feel nodules run under fingers |
|
|
Term
| what is the percaution for the parathyroids, why |
|
Definition
always preserve in surfery
controls Ca metabolism |
|
|
Term
| if you find a neck nodule, when so you be concerned |
|
Definition
worry if solid and cold
less milignancy if hot and cystic |
|
|
Term
| what labs or tests are done on the thyroid, what conditiosn can they reveal 5 |
|
Definition
function studies - hyper, hypo, euthyroid
thyroid antibodies - autoimmune
ultrasound- sold or cystic masses
scan - hot or cold masses
fine needle aspiration and microscope exam or suspicious masses |
|
|
Term
| how should salivary glands be palpated |
|
Definition
| bimanual: one hand in mouth the other outside |
|
|
Term
| what are the major salivary glands |
|
Definition
| parotid, submandibular, submental |
|
|
Term
| minor slaivary glands: what disease are they associated with, why |
|
Definition
| more than 400 so more likley to cause dry mouth due to drugs or autoimmune diseases |
|
|
Term
| what does it mean if you have a cold cystic nodule |
|
Definition
| all cystic nodules are cold because it means that area is non functioning thyroid. cystic nodules are fine unless they cause compression |
|
|
Term
| what does it mean if you have a hot nodule |
|
Definition
| functional thyroid tissue can take control causing hyperthyroidism |
|
|
Term
| what are two conditions that cause hyperthyroidism |
|
Definition
|
|
Term
| what duct empties the parotid |
|
Definition
|
|
Term
| what duct empties the submandibular |
|
Definition
|
|
Term
| what are the 8 parts of the indirect exam |
|
Definition
naspharynx
hypopharynx
larynx, valleculae, epiglottis, arepeiglottic folds
atenyoids
anterior and posterior comissure
true and false vocal cords
post cricoid region
pyriform sinuses |
|
|
Term
| what is looked for in the nasopharynx exam 3 |
|
Definition
adenoids
eustachian tube
rosenmueller's fossae: behind eustachian orifiace. tumors like to hide here |
|
|
Term
| hypopharynx exam what is looked at |
|
Definition
base of tongue
pharyngeal wall
tonsils |
|
|
Term
| what is looked for on a mirrior or fibroptic scope exam 4 |
|
Definition
| larynx, valleculae, epiglottis, arepiglottic folds |
|
|
Term
| what are the parts of the neuro exam 4 |
|
Definition
extraocular muscle movement
pupillary reaction
CN
cerebellar exam |
|
|
Term
| how do you do an EENT exam on a baby |
|
Definition
| kid laying on lap with mom holding hands and elbows. use light on head. examine mouth last when they cry |
|
|
Term
| wat are the lateral, medial, lining, medial boundry of the auditory canal |
|
Definition
lateral: cardiladge, cerumen glands, hair follicles
medial, bone
lined: squamous epithelium
medial boundry: tympanic membrane |
|
|
Term
| what is the average lenth of the auditory canal |
|
Definition
|
|
Term
| what are the parts of the outer ear 8 |
|
Definition
triangular fossa
helical crus
tragus
helix
antihelix
scapha
anti tragus
lobule |
|
|
Term
| tympanic membrane: how is it divided, what are the names of the parts |
|
Definition
divided into quadrants
pars tensa, pars flaccida |
|
|
Term
| what are the three layers of the pars tensa, what is their significance in healing |
|
Definition
squamous
fibril - wont heal in perforation making healed area thin so it make be mistaken for still being perforated
mucosal |
|
|
Term
| what are the landmarks of the tympanic membrane 5 |
|
Definition
malleys
umbo
incudostapedial joint
chonda tympani
round window niche |
|
|
Term
| what seperates the neck and into what |
|
Definition
| sternocleidomastoid muscle into anterior and posterior triangle |
|
|
Term
| what are the five areas you need to look at in the neck, what is in them |
|
Definition
1. submadibular triangle
2. carotid triangle - jugular and gatric nodes
3. mid jugular nodes on omohyoid
4. lower jugular nodes at bottom on inferior carotid triangle
5. occipital triangle |
|
|
Term
| what are the 10 bones and cardiladges of the nose |
|
Definition
frontal bone
nasal bones
frontal process of the maxilla
septal cartiladge
lateral nasla cartiladge
lesser alar cardiladge
greater alar cartiladge
leteral crus
medial crus
anterior nasal spine |
|
|
Term
| whatare the 6 parts of the nasal septum |
|
Definition
| ethmoid, sphenoid bone, palatine bone, maxilla, cardiladge, vomer |
|
|
