Term
| A horizontal jerking or bobbing motion of the head may be associated with... |
|
Definition
|
|
Term
| a nodding movement of the head may be associated with __________________ especially if its synchronized with the pulse |
|
Definition
|
|
Term
Some patients will tilt their head to one side to... |
|
Definition
favor a good eye or ear occurs w/ unilateral hearing or vision loss can also be associated with the shortening of the SCM muscle (torticollis) |
|
|
Term
Suspect facial n weakness when... |
|
Definition
| only the lower face is involved |
|
|
Term
If only the mouth is involved in a facial problem suspect... |
|
Definition
| a problem with the peripheral trigeminal nerve |
|
|
Term
|
Definition
| pressure on or degenerative changes in facial nn or they may be psychogenic |
|
|
Term
| With hair make sure you note: |
|
Definition
texture, color and distribution also any split ends or cracking |
|
|
Term
| Coarse, dry and brittle hair is assc w/... |
|
Definition
|
|
Term
| fine, silky hair is assc with... |
|
Definition
| hyperthyroidism or it may be familial |
|
|
Term
| When would you percuss the head? |
|
Definition
with hyperparathyroidism the sound would be low as opposed to a normal high pitched cracking sound or you can percuss the sinuses |
|
|
Term
| if a patient has diplopia why would you want to auscultate over the orbits? |
|
Definition
| to make sure the diplopia is not caused by an expanding cerebral aneurysm |
|
|
Term
| where would you find bruits if the patient had a vascular anomaly of the brain? |
|
Definition
|
|
Term
| what does a bruit indicate? |
|
Definition
|
|
Term
webbing, excessive posterior cervical skin or an unusually short neck may be assc. w/... |
|
Definition
|
|
Term
| Marked edema of the neck is assc. w/... |
|
Definition
|
|
Term
| An unequal space btwn the SCM and the trachea indicated displacement of the trachea from the midline and may be assc. with... |
|
Definition
| a mass or pathologic condition of the chest |
|
|
Term
| A tugging sensation, synchronous w/ the pulse, is evidence of tracheal tugging, suggesting the presence of... |
|
Definition
|
|
Term
| what is a indispensible aid for proper examination of the thyroid? |
|
Definition
|
|
Term
| The right lobe of the thyroid is often ________ than the left. |
|
Definition
|
|
Term
| Coarse thyroid tissue or a gritty sensation implies that..... |
|
Definition
| an inflammatory process has been present |
|
|
Term
what would cause a bruit to be heard over the thyroid? |
|
Definition
| a hypermetabolic state where the blood supply is dramatically increased |
|
|
Term
|
Definition
|
|
Term
| You should inspect the skull and scalp for: |
|
Definition
size shape symmetry lesions |
|
|
Term
Inspect facial features for: |
|
Definition
symmetry shape unusual features tics characteristic facies expression mood |
|
|
Term
| palpate temporal arteries for: |
|
Definition
thickening hardness tenderness |
|
|
Term
| auscultate the temporal arteries for: |
|
Definition
|
|
Term
|
Definition
symmetry alignment of trachea fullness masses, webbing and skinfolds Jugular venous distention carotid artery prominance |
|
|
Term
When you palpate the neck you should note: |
|
Definition
tracheal position tracheal tugging movement of hyoid bone and cartilages with swallowing |
|
|
Term
|
Definition
size shape configuration consistency tenderness nodules if its large, auscultate for bruits |
|
|
Term
| When someone comes in with a head injury what information should you get? |
|
Definition
- independent observer's description of event - state of consciousness right after injury and five minutes after that - predisposing factors - previous occurances - assc. sxs - meds |
|
|
Term
| what could a stiff neck indicate? |
|
Definition
- meningitis - neck injury or strain, head injury, swelling - dec. movement or hinderance due to ADL - fever, bacterial or viral illness |
|
|
Term
| what kind of PMI info would you want to get from someone who has any head issues? |
|
Definition
head trauma recent LP radon or radium txt of head or neck HAs Seizure disorders thyroid dysfunction or surgery |
|
|
Term
what head related FH info do you want to get from your patient? |
|
Definition
HAs; type and character thyroid dysfunction head and neck cancers |
|
|
Term
| What PH and SH info do you want to get from your patient in regards to the head and neck? |
|
Definition
employment risks stress injury risks recent weight loss/gain food intolerances use of alcohol/drugs/tobacco |
|
|
Term
|
Definition
| soft, nonfused areas in infants skulls |
|
|
Term
| What should you inspect in infants, in terms of the head and neck? |
|
Definition
head circumference head symmetry and shape fontanels facial features facial symmetry neck symmetry, size and shape |
|
|
Term
| Head and Neck Exam in Pregnant women |
|
Definition
inspect for chloasma (mask of preg) palpate for hypertrophy of thyroid auscultate for thyroid bruit |
|
|
Term
Head and Neck Exam in Older adults |
|
Definition
facies vary with nutritional status: sunken eyes, eyelids loose and wrinkled evaluate the ROM of neck slowly and cautiously pain or crepitus jerkiness or limited movement palpate thyroid for nodules or irregularities thyroid more fibrotic as individual ages |
|
|
Term
| what are the different types of HAs? |
|
Definition
classic migraines common migraines cluster hypertensive muscular tension temporal arteritis |
|
|
Term
|
Definition
CN VII palsy
asymmetry of one side of the face
quite common
most will go away
can treat with antivirals and steroids (controversial) |
|
|
Term
|
Definition
rounded or moon shaped face thin, erythematous skin hirsutism |
|
|
Term
|
Definition
sunken appearance of the eyes, cheeks and temporal areas sharp nose dry, rough skin seen in terminal stages of illness |
|
|
Term
|
Definition
dull, puffy, yellowed skin coarse, sparse hair temporal loss of eyebrows periorbital edema prominent tongue |
|
|
Term
|
Definition
fine, moist skin fine hair prominent eyes and lid retraction staring or startled expression |
|
|
Term
| Lupus erythematosus facies |
|
Definition
butterfly rash over malar surfaces and bridge of nose either a blush with swelling or scaly, red, maculopapular lesions may be present |
|
|
Term
|
Definition
depressed nasal bridge epicanthal folds mongoloid slant of eyes low-set ears large tongue round face |
|
|
Term
|
Definition
coarsening of features with broadening of the nasal alae prominence of the zygomatic arches bossing forehead |
|
|
Term
|
Definition
enlarged skull with low forehead corneal clouding short neck |
|
|
Term
| craniofacial dystosis facies |
|
Definition
mandibular prognathism drooping lower lip short upper lip parrot beak nose proptotic eyes |
|
|
Term
|
Definition
enlarged head bulging fontanel dilated scalp veins bossing of the skull sclerae visible above the iris |
|
|
Term
| fetal alcohol syndrome facies |
|
Definition
Most common causes of acquired mental retardation poorly formed philtrum widespread eyes w/ inner epicanthal folds mild ptosis hirsute forehead short nose relatively thin upper lip |
|
|
Term
| treacher collins syndrome facies |
|
Definition
maxillary hypoplasia micrognathia auricular deformity |
|
|
Term
|
Definition
| severe maxillary and midfacial hypoplasia |
|
|
Term
|
Definition
severe, severe maxillary and midfacial hypoplasia low set ears |
|
|
Term
|
Definition
|
|
Term
| what are some sxs of hyperthyroidism? |
|
Definition
goiters weight loss tachycardia fine hair/hair loss diarrhea warm skin amenorrhea thin nails mm weakness proptosis feels hot, sensitive to heat |
|
|
Term
| what are some thyroid related problems? |
|
Definition
hypothyroidism hyperthyroidism myxedema grave's disease hashimoto's disease |
|
|
Term
|
Definition
puffy eyes feels cold; sensitive to cold no goiter weight gain constipation coarse/breakable hair menorrhagia scaly, dry skin lethargy thick nails |
|
|
Term
what are the six eye muscles? what innervates each? |
|
Definition
superior rectus - CN III inferior rectus - CN III medial rectus - CN III lateral rectus - CN VI superior oblique - CN IV inferior oblique - CN III |
|
|
Term
| The internal structures of the eye are composed of three separate coats: what are they? |
|
Definition
outer wall: sclera posteriorly and cornea ant. Middle layer: choroid post. and iris ant. Inner layer: retina |
|
|
Term
| what physically supports the internal structure of the eye? |
|
Definition
|
|
Term
| what part of the eye is continuously with the sclera? |
|
Definition
the cornea a major part of the refractive power of the eye |
|
|
Term
| what does the ciliary body do? |
|
Definition
it produces the aqueous humor and contains the mm controlling accommodation |
|
|
Term
|
Definition
| the site of central vision |
|
|
Term
|
Definition
progressive weakening of accommodation occurs with aging |
|
|
Term
| what are the pathways of blindness from front to back? |
|
Definition
eyelids cornea anterior chamber lens vitreous retina optic nerve occipital part of the brain functional - nothing wrong with the eye; malingering |
|
|
Term
| what instruments do you need to examine the eye? |
|
Definition
visual acuity charts flashlight ophthalmoscope tonometer simple loupe (for magnification) |
|
|
Term
| what are the vital signs for the eye? |
|
Definition
distance vision near vision peripheral vision central vision color vision |
|
|
Term
| what are some different eye problems that could be noted in a FH? |
|
Definition
glaucoma macular degeneration cataracts |
|
|
Term
| what are some illnesses that can effect the eye? |
|
Definition
HTN TB arthritic conditions DM Cardiovascular |
|
|
Term
| what are some examples of visual disturbances? |
|
Definition
blurred vision diplopia halos floaters |
|
|
Term
what info do you want in an eye history? |
|
Definition
visual disturbances discharge pain swelling, tumors trauma, foreign bodies, irritants glasses or contacts, protective eyewear systemic illnesses eye disease in the family (note which eye: OS, OD, OU) |
|
|
Term
| what is the most important eye test? |
|
Definition
|
|
Term
| visual acuity is what kind of measurement? |
|
Definition
|
|
Term
| at what distance do you normally test distance vision? |
|
Definition
|
|
Term
| what are some different ways to access distance vision? |
|
Definition
Snellen charts E Charts pinhole test |
|
|
Term
| what does a pinhole test eliminate? |
|
Definition
|
|
Term
| In what order do you test visual acuity? |
|
Definition
each eye separately, rest inbtwn each eye then both together |
|
|
Term
| what do you use to test near vision? |
|
Definition
rosenbaum chart it also test for presbyopia |
|
|
Term
| in distance visual acuity recording, what do the upper and lower numbers mean? |
|
Definition
upper number: distance in feet from the patient to the chart lower number: distance in feet at which a person w/ excellant vision would see the same letter |
|
|
Term
| how do you test peripheral vision? |
|
Definition
confrontation method: compares the examiners visual field to the patients |
|
|
Term
| what do you use to test for macular degeneration? |
|
Definition
|
|
Term
how do you test color vision? |
|
Definition
Ishihara chart color comparison method with a red object |
|
|
Term
| why does color blindness normally only affect males? |
|
Definition
| bc its an X linked genetic disorder |
|
|
Term
what do you use a tonometry device for? what is a normal measurement? |
|
Definition
to measure IOP **normal is 10-20 mmHg |
|
|
Term
| the inferior oblique mm moves the eye... |
|
Definition
|
|
Term
| the superior oblique mm moves the eye... |
|
Definition
|
|
Term
| the superior rectus mm moves the eye... |
|
Definition
|
|
Term
the inferior rectus mm moves the eye... |
|
Definition
|
|
Term
| the medial rectus mm moves the eye... |
|
Definition
| medially, towards your nose, makes you make cross eyed faces |
|
|
Term
| the lateral rectus mm moves the eyes... |
|
Definition
| laterally, out towards your ears |
|
|
Term
| you test cardinal eye movements by making what shape with your hand or a light source? |
|
Definition
|
|
Term
| why do you pause at the extremes when testing cardinal eye movements? |
|
Definition
| to test for nystagmus - jerking movements of the eye |
|
|
Term
|
Definition
a condition where both eyes do not focus on an object simultaneously (can be paralytic or nonparalytic) light reflects in different places in the eyes |
|
|
Term
what are some causes of nonparalytic strabismus? |
|
Definition
infantile cataract retinoblastoma |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| you want to inspect the eyelids for: |
|
Definition
symmetry - skin creases opening and closing completely eyelash position ptosis - drooping of a lid tremor or fasciculations swelling or infection flakiness |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| what is one cause of entopion? |
|
Definition
|
|
Term
| you want to palpate the eyelids for: |
|
Definition
|
|
Term
| you want to evert the upper and lower lids to inspect for: |
|
Definition
color discharge lacrimal system foreign bodies scratches odd vasculature |
|
|
Term
| what nerve causes poor eyelid closure? |
|
Definition
|
|
Term
| you want to inspect the conjunctiva and sclera for: |
|
Definition
redness vessels growths or lesions, foreign bodies proptosis (exophthalmus) enophthalmus |
|
|
Term
|
Definition
a viral conjunctivitis with teary discharge |
|
|
Term
| what can cause sub conjuctival hemorrhages? |
|
Definition
coughing direct trauma its not serious |
|
|
Term
| what is another name for icterus? |
|
Definition
|
|
Term
| what do you use to test corneal sensitivity and what nerve is it testing? |
|
Definition
|
|
Term
how does horner's syndrome affect the eyes? |
|
Definition
| miosis and ptosis caused by disruption of sympathetic pathway |
|
|
Term
| what does tonic pupil mean? |
|
Definition
affected pupil dilated and reacts slowly or fails to react to light; responds to convergence cause by impairment of postganglionic parasympathetic inn to sphincter pupillae mm or ciliary malfunction |
|
|
Term
|
Definition
bilateral, miotic, irregularly shaped pupils that fail to constrict with light but retain constriction with convergence, may or may not be equal in size commonly caused by neurosyphilis or lesions in midbrain where afferent pupillary fibers synapse |
|
|
Term
| what does CN III nerve damage cause? |
|
Definition
mid dilation ptosis lateral and downward eye deviation |
|
|
Term
|
Definition
|
|
Term
| what are you looking for when you do an ophthamoscopic exam? |
|
Definition
lens clarity red reflex retinal color and lesions chars. of blood vessels disc characteristics macula chars. |
|
|
Term
|
Definition
an increase in the volume of the orbital content, causing protrusion of the eyes forward most common cause is Grave's disease when its bilateral if unilateral then it can be a retro-orbital tumor |
|
|
Term
|
Definition
| inflammation of the superficial layers of the sclera anterior to the insertion of the rectus mm |
|
|
Term
|
Definition
produced by the deposition of Ca in the superficial cornea horizontal grayish bands interspersed with dark areas that look like holes |
|
|
Term
|
Definition
a disruption of the corneal epithelium and stroma caused by viral or bacterial infection or by desiccation bc of incomplete closure of the lid or poor lacrimation wearing contact lenses increases the risk of developing bacterial ulcerations |
|
|
Term
| what is the difference btwn miosis and mydriasis? |
|
Definition
miosis is pupillary constriction < 2mm mydriasis is pupillary dilation >6mm |
|
|
Term
| what are some causes of miosis? |
|
Definition
| iridocyclitis, miotic eye drops, drug abuse |
|
|
Term
| what are some causes of mydriasis? |
|
Definition
| iridocyclitis; mydriatic or cycolplegic drops, midbrain lesions or hypoxia, CN III damage, acute angle glaucoma, drug abuse |
|
|
Term
|
Definition
unequal pupils; congenital, 20% have size difference but normal reflexes, could be caused by local eye meds, or unilateral symathetic or parasympathetic pupillary pathway destruction |
|
|
Term
| Optic atrophy is the result of... |
|
Definition
the death of nerve fibers and myelin sheaths primary symptom is loss of central or peripheral vision or both disc becomes stark white |
|
|
Term
|
Definition
| a disease of the optic nerve wherein the nerve cells die, producing a characteristic appearance of the optic nerve (increased cupping) |
|
|
Term
| what is chorioretinal inflammation? |
|
Definition
| an inflammatory process that involves both the choroid and the retina. it results in a sharply defined lesion that is generally whitish yellow and becomes stippled with dark pigment in later stages ending with a scar. |
|
|
Term
|
Definition
pigmented lesions of the choroid appear as darkened well defined areas of varying size beneath the retina any enlargement or elevation could suggest a malignant change |
|
|
Term
|
Definition
is caused by a lesion - mostly a pituitary tumor - interrupting the optic chiasm you only see with the medial halves of both eyes |
|
|
Term
|
Definition
an embryonal malignant tumor arising from the retina, often during the first 2 years of life transmitted either by an autosomal dominant trait or aby a chromosomal mutation. a white instead of red reflex, ill defined mass arising from the retina |
|
|
Term
evaluate mm balance and movement of eyes with... |
|
Definition
corneal light reflex cover-uncover test six cardinal fields of gaze nystagmus |
|
|
Term
| where are the lacrimal glands located? |
|
Definition
| the superior temporal orbital rim |
|
|
Term
| you should inspect the extermal eyes for: |
|
Definition
corneal clarity, sensitivity, arcus color of irises PERRLA depth of anterior chamber |
|
|
Term
|
Definition
the central vessels in the eyes are pushed forward, and the veins are markedly dilated venous pulsations are not visible and cannot be induced by pressure applied to the eye venous hemorrhages may occur |
|
|
Term
how do you check the patients anterior chamber? |
|
Definition
by shining a light into the eye from the side normal, iris has no shadow shallow anterior chamber, a portion of the iris is shadowed |
|
|
Term
|
Definition
yellow fatty deposits on the eye lids need to check for high cholersterol |
|
|
Term
|
Definition
| crusting of the upper eye lid |
|
|
Term
| which kind of conjunctivitis is very common? |
|
Definition
allergic you might see cobblestone papillae and shield ulcers |
|
|
Term
|
Definition
| a bump of inflamed fatty tissue on the eye but not encroaching on the cornea |
|
|
Term
|
Definition
a bump of inflamed fatty tissue in the eye that does go onto the cornea triangular in shape with parallel vessels |
|
|
Term
|
Definition
composed of lipids deposited in the periphery of the cornea. its benign and white |
|
|
Term
| what can cause the cornea to be perforated? |
|
Definition
|
|
Term
|
Definition
irregular pupil red sclera pain |
|
|
Term
| how does a cataract change how you will see the red reflex? |
|
Definition
| the will be shadows against it |
|
|
Term
| what are some retinal findings? |
|
Definition
glaucoma papilledema hypertensive retinopathy diabetic retinopathy retinal detachment retinal artery or vein occlusion optic atrophy |
|
|
Term
| what is a consensual response? |
|
Definition
| when you shine light into one eye the other pupil constricts too |
|
|
Term
|
Definition
vertigo/dizziness nausea/vomiting earaches hearing loss auricular discharge cerumen impaction |
|
|
Term
| what are some factors that can cause hearing loss? |
|
Definition
age occupational or loud music trauma antibiotic use (gentamycin, streptomycin) radiation auricular, nasal, facial or oral surgery syphillis hypoxic event |
|
|
Term
|
Definition
allergies nosebleeds URIs sinus infections post nasal drip loss of smell breathing nasal surgery/trauma snoring |
|
|
Term
| throat and pharynx history |
|
Definition
dental problems ulcers lip and mouth lesions difficulty talking or swallowing |
|
|
Term
what kind of equipment do you need to do a ENT exam? |
|
Definition
otoscope w/ pneumatic attachment nasal speculum tongue blades gauze gloves tuning forks penlight vials with different odors (CN I) |
|
|
Term
| where can you press on the external ear to figure out if there is an external canal infection? |
|
Definition
|
|
Term
| where do you specifically check for skin cancer on the ear? |
|
Definition
|
|
Term
| to check the ear canal which way to do pull the ear for adults and children? |
|
Definition
adults: up and back children: down and back |
|
|
Term
| you should inspect the auricles for: |
|
Definition
size shape symmetry landmarks and position on head color presence of deformities, lesions or nodules |
|
|
Term
| what do you inspect the external ear canal for? |
|
Definition
|
|
Term
| you palpate the auricles and mastoid area for: |
|
Definition
tenderness or pain swelling nodules |
|
|
Term
| what should the consistency of the auricles be like? |
|
Definition
| firm and mobile, with no nodules |
|
|
Term
| you inspect the auditory canal from the _________ to the ___________ |
|
Definition
|
|
Term
| you inspect the auditory canal for: |
|
Definition
cerumen discharge redness scaling lesions foreign bodies |
|
|
Term
| you inspect the tympanic membrane for: |
|
Definition
landmarks color contour perforation fluid behind the membrane |
|
|
Term
| the light reflex from the tympanic membrane should point in what direction? |
|
Definition
it should point toward the front, like towards your cheek |
|
|
Term
| what bony structure do you see in the middle of the tympanic membrane? |
|
Definition
|
|
Term
|
Definition
see how they respond to questions and directions whispered voice test weber and rinne test help with AC vs BC |
|
|
Term
| With the weber test if you have AC loss it will lateralize to what ear? |
|
Definition
| to the ear that has the air conduction problem, like too much wax |
|
|
Term
| with the weber test which ear will it lateralize to if there is a sensorineural hearing loss? |
|
Definition
| it will lateralize to the ear with the least sensorineural hearing loss |
|
|
Term
| should AC or BC be greater? |
|
Definition
|
|
Term
| which test helps you figure out the AC to BC ratio? |
|
Definition
| Rinne test with the tuning fork behind the ear on the bone and then when they stop hearing it there it goes parallel to the ear |
|
|
Term
| you should inspect and palpate the lips for: |
|
Definition
symmetry color edema surface abnormalities |
|
|
Term
| inspect the buccal mucosa for: |
|
Definition
color and moisture aphthous ulcers or fordyce spots parotid (stenson's) ducts |
|
|
Term
| you should inspect the teeth for: |
|
Definition
occlusion and alignment color and stains number of missing teeth wear, notches or caries |
|
|
Term
| you should inspect the gums and gingiva for: |
|
Definition
color moisture swelling bleeding |
|
|
Term
| you should palpate the gums for: |
|
Definition
lesions induration thickening or masses tenderness |
|
|
Term
| you should inspect the tongue for: |
|
Definition
swelling size color variations coating ulcerations |
|
|
Term
| Tympanic membrane: bulging with no mobility |
|
Definition
| pus or fluid in middle ear |
|
|
Term
| tympanic membrane: retracted with no mobility |
|
Definition
| obstruction of eustachian tube with or w/o effusion |
|
|
Term
| tympanic membrane: mobility with negative pressure only |
|
Definition
| obstruction of eustachian tube with or without effusion |
|
|
Term
tympanic membrane: excess mobility in small areas |
|
Definition
| healed perforation, atrophic tympanic membrane |
|
|
Term
amber or yellow tympanic membrane |
|
Definition
| serous fluid in middle ear |
|
|
Term
| blue or deep red tympanic membrane |
|
Definition
|
|
Term
| chalky white tympanic membrane |
|
Definition
|
|
Term
| reddish tympanic membrane |
|
Definition
| infection in middle ear, prolonged crying |
|
|
Term
| dull colored tympanic membrane |
|
Definition
|
|
Term
| white flecks or dense white plaques on the tympanic membrane |
|
Definition
|
|
Term
| air bubbles on tympanic membrane |
|
Definition
| serous fluid in middle ear |
|
|
Term
|
Definition
inflammation or infection of the tonsils commonly caused by streptococci sxs: sore throat, referred pain to the ears, dysphagia, fever, fetid breath, malaise tonsils appear red and swollen, crypts are filled with purulent exudate |
|
|
Term
|
Definition
infection of the tissue btwn the tonsil and tonsillar pillar occurs as a complication of tonsillitis sxs: dysphagia, drooling, severe sore throat with pain radiating to the ear, muffled voice, malaise and fever red and swollen |
|
|
Term
|
Definition
may appear as an ulcerative lesion that may be erythematous, white or pigmented, appearing as piled pu edges around a core that often appears on the lateral border or floor of the mouth Signs: sore in the mouth that will not heal, a white or red patch on the gums, tongue, tonsil or buccal mucosa, bledding, ulceration and a lump of thickening in the cheek |
|
|
Term
|
Definition
conenital malformation of the face that appears as a fissure of the upper lip or palate long term problems: hearing loss, chronic otitis media, speech difficulties, feeding problems and improper tood development and alignment |
|
|
Term
|
Definition
| periodic cessation of breathing during sleep that is assc with either an obstruction to airflow or with failure of the CNS to stimulate the respiratory effort to breathe. |
|
|
Term
|
Definition
in older adults common auditory disorder in which there is bilateral sensorineural hearing loss assc with aging caused by degenerative changes in the inner ear or auditory nerve |
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Term
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Definition
in older adults dry mouth caused by ingestion of anticholinergic or antidepresseant drugs that interfere with the production of saliva also caused by systemic disease such as rheumatoid arthritis, scleroderma, polymyositis, and Sjogren syndrome found in heavy smokers or those who have received radiation to the head and neck |
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Term
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Definition
an acute ilfe threatening disease almost always caused by haemophilus influenzae progressive full obstruction of airway resulting in death medical emergency |
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Term
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Definition
| the total expression of a person's emotional responses, mood, cognitive functioning and personality |
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Term
| _____________________ while asking questions is a major part of the physical assessment for mental status |
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Definition
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Term
| what are some important HPI questions for mental status? |
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Definition
disorientation and confusion depression anxiety |
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Term
| what is probably the most important question you can ask someone about depression? |
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Definition
if they feel like hurting themself, or if they have thoughts about dying or suicide |
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Term
| what are good mental status questions in terms of PMH? |
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Definition
any neurologic disorders brain surgeries residual effects chronic diseases any psychiatric therapy or hospitalization |
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Term
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Definition
psychiatric disorders mental illnesses alcoholism mental retardation, autism Alzheimer's disease learning disorders |
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Term
personal and social history for mental status |
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Definition
emotional status discouragment intellectual level sleeping or eating patterns use of alcohol or drugs |
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Term
| what are the two big mental status problems? |
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Definition
depression personality disorders |
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Term
| things to check for mental status exams in children |
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Definition
- speech and language - behavior: tantrums, hyperactivity, attention span, seperation abilities - performance of self-care activities - personality and behavoir patterns - learning or school difficulties assessed in the Denver Dev. Test |
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Term
| Mental Status: common abnormalities in infants and children |
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Definition
mental retardation ADHD Austism |
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Term
| Review of related history for mental status exam in adolescents |
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Definition
school performance family interactions, reluctance to communicate and to speak attitudes and experience anger management risk-taking behaviors (safety, drug/alcohol use, sexual activity) |
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Term
| review of related history for mental status exam for older adults |
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Definition
ADLs changes in mental function: cognitive funcs, memory, confusion depression: somatic complaints, hopelessness, helplessness, thoughts of dying, lack on interest in personal care |
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Term
| how is mental status assessed? |
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Definition
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Term
| what should you evaluate for mental status? |
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Definition
appearance cognitive abilities emotional stability speech and language |
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Term
| physical appearance and behavior |
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Definition
grooming emotional status body language |
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Term
| investigate cognitive abilities by assessing: |
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Definition
state of consciousness response to questions reasoning arithmetic ability memory attention span |
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Term
| 5 unexpected levels of consciousness |
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Definition
confusion lethargy delirium stupor coma |
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Term
| what are the 3 components of the glasgow coma scale? |
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Definition
eye opening verbal response motor response |
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Term
| signs of cognitive abilities |
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Definition
significant memory loss confusion impaired communication agitation inappropriate affect Haz. behavior personal care difficulties suspiciousness |
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Term
| Orientation questions for the Mini Mental status exam |
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Definition
what is the... date name of this hospital month floor we are on day town season city year state |
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