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Health Assessment
Nose and Sinuses, mouth and throat
34
Nursing
Undergraduate 2
11/14/2009

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Cards

Term
What are the purposes of the nose and sinuses?
Definition
identify odors (CN 1), air passage, adjust temperature and humidity of inspired air, voice resonance, decreased weight of head, produce mucus
Term
anosmia
Definition
loss of sense of smell
Term
hyposmia
Definition
diminished sense of smell
Term
Kiesselbach's Plexus
Definition
sight of most nosebleeds
Term
epistaxis
Definition
nosebleeds
Term
What are the causes of nosebleeds?
Definition
local irritation, lack of humidity, sneezing or nose blowing, trauma, hypertension (vessles in nose break), blood dyscrasias (disorders)
Term
columela
Definition
outside portion of septum
Term
Procedure for inspection of internal structures of nose
Definition
1. otoscope (avoid chin and septum with handle - away from midline) 2. lift tip of nose before insertion 3. direct speculum posteriorly and up 5. support head
Term
normal nose mucosa color
Definition
bright pink (turbinates are lighter pink) - should NOT be red
Term
purpose of the mouth and throat
Definition
emit air for talking and breathing, passageway for food and liquids, begin digestion, identify tastes (CN IV), protect from aspitation
Term
Oral cancer risk factors
Definition
tobacco use, excessive alcohol consumption
Term
Risk sites for oral cancer
Definition
floor of mouth, ventrolateral tongue, soft palate
Term
warning signs of oral cancer
Definition
1. sore in mouth that bleeds easily (Doesnt heal) 2. lump in cheek 3. white or red patch on gums, tongue, or lining of mouth 4. soreness or feeling something is caught in throat 5. difficulty chewing/swallowing 6. difficulty moving jaw or tongue 7. numbness of tongue or other areas 8. poor fit of dentures or discomfort
Term
leukoedema
Definition
benign film on toungue that is white, not raised, and can scrape off
Term
leukoplakia
Definition
malignant - white raised patches that don't scrape off of tongue
Term
erythroplakia
Definition
malignant - red, velvety, can't scrape off
Term
lip color
Definition
normal: pink; abnormal: circumstantial pallor (anemia), cyanotic (low oxygen), cherry red (CO poisening, aspirin overdose)
Term
chelitis
Definition
cracking at corners of mouth
Term
mouth mucus membrane color
Definition
normal: coral pink
Term
stensen's duct openings
Definition
opens into cheek by 2nd molar
Term
malocclusion
Definition
when you bite down, do your back teeth meet
Term
Normal appearance of gingivae
Definition
stippled, tightly adhering, peaked between teeth, dark skinned may have dark line along gingival margin
Term
Abnormal gingivae
Definition
red, shiny, swollen, hyperplasia (over growth), receding (can result in nerve exposure)
Term
large fissure down tongue
Definition
vit. B deficiency
Term
normal ventral surface of tongue and floor of mouth
Definition
shiny, smooth, darker in color, veinss, frenulum
Term
wharton's ducts
Definition
openings for submandibular glands on either side of frenulum
Term
Hard palate color
Definition
lighter pink/white
Term
soft palate color
Definition
more pink, smooth
Term
shape of hard and soft palates
Definition
done-shaped (palatine torus) - bony ridge down hard palate can indicate narfan's syndrome or be a normal variation
Term
CN XII test
Definition
hypoglossal; stick out tongue: should be midline without tremors (affected: tongue will deviate to affected side); toungue strength: push against cheek against resistance (use muscle strength scale)
Term
CN IX and X
Definition
IX = glossopharyngeal, X = vagus; say "ah": symmetrical rise of uvula and palatine arches and uvula stays midline; gag reflex; check voice quality for hoarseness (^ 2 weeks: refer), swallowing
Term
Children's teeth
Definition
20 deciduous teeth (by age 2.5 yrs) -> under age 2: age in months-6=number of teeth
Term
considerations for older adults (mouth)
Definition
decreased sense of taste, dental changes, decreased saliva (side effect of meds or medical condition)
Term
dysphasia
Definition
difficulty swallowing
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