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head & neck
| Question | Answer |
|---|---|
| cervical vertebrae | first 7 vertebrae |
| ptosis | sinking of an organ (eyeball) |
| Cushing's Syndrome | very round, swollen face |
| acromegaly | secretion of growth hormone throughout life = large features (nose, mouth), long face |
| diplopia | double vision |
| bulbar conjunctiva | smooth, shiny, clear covering over eyeball |
| pupil diameter | 3-6mm; bilaterally |
| sclera | "white" part of eye |
| palpebral fissure | distance from upper to lower eyelids |
| palpebral conjunctiva | pink covering over inside of eyelids |
| lacrimal apparatus | tear ducts |
| Snellen Chart test | visual acuity; 20 ft, read letters |
| myopia | near sighted |
| presbyopia | far sighted |
| confrontation test | visual fields (peripheral vision) 6 angles |
| Accomodation to light test | pupillary reaction, direct & consensual |
| Near accomodation test | look far away then look at pen 10cm away; constriction w/ near effort |
| Convergence Test | make eyes cross |
| EOMs, positions test | 6 cardinal fields of gaze |
| EOMs, corneal light reflex | shine light at face; reflection should be in same spot for both eyes |
| EOMs, cover test | cover one eye, ask pt to focus, remove cover, both eyes should be looking at the object of focus |
| tragus | little tab anterior of ear canal, medial to nose |
| auricle/pinna | entire external ear |
| helix | outer rim of external ear (cartilage) |
| tinnitus | ringing in ears |
| vertigo | unequalibrium |
| pain with tragus palpation | sign of middle ear infection |
| otosclerosis | hearing loss from hardening of foot plate of stapes to become fixed; motor hearing loss, exposure to loud noise |
| presbycusis | hearing loss in aging from sensorineural loss, slow progression |
| epistaxis | bloody nose |
| rhinorrhea | runny nose |
| tonsil gradation | 1+ present, 2+ halfway to uvula, 3+ touching uvula, 4+ touching each other |
| cervical lymph nodes | *preauricular *postauricular *occipital *submental *sublingual *tonsillar, jugulodigastric (TMJ) *superficial cervical *deep chain cervical *posterior cervical *supraclavicular |
| smooth/soft/moveable lymph node | sign of infection |
| rough/hard/fixed position lymph node | sign of cancer |