Head and Neck, Eyes, Ears, Nose, & Throat

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Presentation transcript:

Head and Neck, Eyes, Ears, Nose, & Throat

Head & Neck Review Anatomy of head History Headache Head Injury Dizziness Neck pain Lumps, swelling Surgery

Head & Neck Exam Inspect and Palpate skull Inspect face Inspect and palpate neck ROM Lymph nodes – know the names Trachea Thyroid gland

Head & Neck Exam Abnormal findings, Goiter Grave’s disease Adenopathy Neck masses

http://www. utdol. com/online/content/image. do http://www.utdol.com/online/content/image.do?imageKey=onco_pix/lymph_8.htm&title=Lymph%20nodes%20head%20and%20neck

Eyes Review A&P – 208 -214 Review Aging Adult changes

Arcus Senilis

Pterygium

Eye: History Visual problems or changes Pain Strabismus, diplopia Sudden loss of vision is ALWAYS an emergency Pain Strabismus, diplopia Redness, swelling Past history of ocular problems Glaucoma

Eye: History Glasses or contacts Self care behaviors Medications Vision loss

Eye: Physical Exam Visual acuity Test visual fields Extraocular muscle (EOM) Corneal Light reflex Diagnostic Positions of gaze Inspection of External structures General Eyebrows Eyelids and lashes (lag, ptosis, closure)

Eye: Physical Exam Eyeball Conjunctiva and Sclera Lacrimal status Cornea and lens Iris & Pupil PERRLA Ocular Fundus Findings: arcus senilis, conjunctival hemorrhage, ophthalmic herpes, ptosis

Ear Review A&P, pg 289 - 295 History Earache Infections Discharge Hearing Loss Environmental noise Tinnitus Vertigo Self-care

Ear: Physical Exam Size and shape of Pinna Tenderness External meatus Otoscope pg 308 for normal with landmarks; 317 for serous otitis EAC TM Hearing tests Whispered voice, Weber, Rinne Romberg

Nose, Mouth, Throat Review A&P, 321 - 327 History: Nose Discharge Infections/Colds Sinus Pain Trauma Epistaxis Allergies

Nose, Mouth, Throat History: Mouth & Throat Sores & Lesions Sore Throat Bleeding gums Toothache Hoarseness Dysphagia Altered Taste Smoking, ETOH Self-care

Nose: Physical Exam Inspect Palpate or Percuss Sinuses Outer Nose Nasal Cavity Sinuses Palpate or Percuss Sinuses

Mouth & Throat: Physical Exam Inspect Mouth & Throat Lips Dentition Gums Buccal Mucosa Tongue Palate Pharynx Uvula, pillars, tonsils, laryngeal wall Palpate tongue, sublingual

Mouth & Throat Abnormal Herpes simplex, pg 333 Gingival hypertrophy in a phenytoin patient, 337 Oral Candidiasis (Thrush), pg 340 Enlarged tonsils, pg 347

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