HEENT Lecture #2 material, covers examination of the ear, nose, and sinuses! :)
Do the specific treatment for the condition you suspect
Refer to a dermatologist
Do a biopsy to figure out what types of cells are present
Remove the abnormal cells in your office with local anesthetic
Tell the person to keep an eye on the growth and come back if it changes or gets any bigger
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Ear pain
Hearing problems
Ear drainage
Inflammation
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Helix
Lobule
Antihelix
Tragus
Antitragus
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Otitis externa
Otitis media
Otitis internus
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Auricle and pinna
Auricle only
Auricle and tragus
Auricle and helix
Pinna only
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Otitis media, otitis externa
Otitis externa, Otitis media
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Otitis externa, temporal arteritis
Otitis media, temporal arteritis
Otitis externa, mastoiditis
Otitis media, mastoiditis
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Straighten the ear canal by grasping the helix and antihelix firmly but gently and pull it upward, backward, and slightly away from the head. Insert the speculum into the canal, directing it somewhat up and forward.
Straighten the ear canal by grasping the lobule firmly but gently and pull it down and slightly away from the head. Insert the speculum into the canal, directing it somewhat upward.
Straighten the ear canal by grasping the auricle firmly but gently and pull it downward, forward, and slightly away from the head. Insert the speculum into the canal, directing it somewhat down and forward.
Straighten the ear canal by grasping the auricle firmly but gently and pull it upward, backward, and slightly away from the head. Insert the speculum into the canal, directing it somewhat down and forward.
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True
False
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Acute otitis externa
Chronic otitis externa
Acute purulent otitis media
Serous otitis media (serous effusion)
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Acute otitis externa
Chronic otitis externa
Acute purulent otitis media
Serous otitis media (serous effusion)
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Canal is swollen, narrow, moist, tender, and can be pale or erythematous
Skin of canal is thickened, red, itchy
Bulging tympanic membrane (TM); landmarks are lost
Amber TM; bubbles and a fluid line may be seen
Prominent malleus seen (commonly due to eustachian tube dysfunction)
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Canal is swollen, narrow, moist, tender, and can be pale or erythematous
Skin of canal is thickened, red, itchy
Bulging tympanic membrane (TM); landmarks are lost
Amber TM; bubbles and a fluid line may be seen
Prominent malleus seen (commonly due to eustachian tube dysfunction)
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Canal is swollen, narrow, moist, tender, and can be pale or erythematous
Skin of canal is thickened, red, itchy
Bulging tympanic membrane (TM); landmarks are lost
Amber TM; bubbles and a fluid line may be seen
Prominent malleus seen (commonly due to eustachian tube dysfunction)
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True
False
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Lateralization of sound, hearing loss, air/bone conduction
Hearing loss, lateralization of sound, air/bone conduction
Lateralization of sound, air/bone conduction, hearing loss
Hearing loss, air/bone conduction, lateralization of sound
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True
False
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Conductive, sensorineural
Sensorineural, conductive
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True
False
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Sensorineural, conductive
Conductive, sensorineural
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True
False
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The vibrations of the tuning fork irritate the cochlear nerve in the affected ear, creating a louder sound
Lower frequency sounds get transferred through the bone and escape out the canal. If an occlusion is present, the sound can't escape and seems louder.
An occlusion in the affected ear vibrates more than the normal ear, so the sound seems louder.
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Sensorineural, conductive
Conductive, sensorineural
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BC=AC
BC>AC
AC>BC
AC=BC
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Conductive hearing loss in the right ear
Sensorineural hearing loss in the right ear
Conductive hearing loss in the left ear
Sensorineural hearing loss in the left ear
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Conductive hearing loss in the right ear
Sensorineural hearing loss in the right ear
Conductive hearing loss in the left ear
Sensorineural hearing loss in the left ear
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Conductive hearing loss in the right ear
Sensorineural hearing loss in the right ear
Conductive hearing loss in the left ear
Sensorineural hearing loss in the left ear
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AC>BC on the left
AC>BC on the right
AC>BC on the left and right
AC
AC=BC on the right
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Lacrimation
Purulent exudate
Nasal polyp
Nosebleed
Rhinorrhea
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Blood and mucus
Blood and pus
Mucus and pus
Water and pus
Water and mucus
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Maxillary, ethmoid
Maxillary, frontal
Frontal, ethmoid
Frontal, maxillary
Frontal, frontal
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Developmental absence of a sinus
Secretions in the sinus
Thickened mucosa in the sinus
Polyps or masses in the sinus
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True
False
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Tenderness with sinus palpation, percussion, and general facial pain
Fever, headache
Nasal discharge
Post-nasal drip
Nausea and vomiting
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Where you place information obtained from the vital signs, physical examination and diagnostic tests.
Contains the chief complaint and HPI.
Where you place the information that the patient tells you about their symptoms.
Contains information starting from your general inspection and observation of the patient.
Includes the PMH, Social History, and Family History
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