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PDX Definitions
Head & Face
| Question | Answer |
|---|---|
| Enlarged skull may signify what? | Hydrocephalus or Paget's Disease |
| Abnormal or accelerated rate of head circumference growth is a biological marker for what? | Autism |
| Elongated head and prominent brow and jaw suggest what? | Acromegaly |
| Ocular causes of abnormal head position in Torticollis | Strabismus, Diplopia or Progressive Supranuclear Palsy(PSP) |
| Non-ocular causes of abnormal head position in Torticollis | Cerebral Palsy, bony abnormalities, occipitocervical synostosis, Parkinsonism syndromes & unilateral hearing loss |
| Excessive hair growth in men | hypertrichosis |
| Excessive hair growth in women & children only | hirsutism |
| Hair loss | alopecia |
| What does hair lost suggest? | hormonal imbalances, aging or hypothyroidism |
| Coarse hair is found in what disorder? | hypothyroidism |
| Fine hair is found in what disorder? | hyperthyroidism |
| Redness and swelling of scalp in children | cradle-cap |
| Redness and swelling of scalp in adults | seborrheic dermatits |
| Tiny tan, yellow or brown oval dots close to the scalp | nits |
| What do nits look like after hatching? | Shells look white or clear and continues to be firmly attached to the hair shaft |
| Round or "moon" face with red cheeks | Cushing's Syndrome |
| Edematous face | nephrotic syndrome, hypothyroidism or pre-eclampsia |
| Swelling anterior to the ear lobes & above angles of the jaw indicate what? | parotid gland enlargement (mumps) |
| Masked facies indicate what? | Parkinson's |
| Disorders that go with Ptosis | Horner's Syndrome, myasthenia gravis or oculomotor nerve lesion |
| Turning inward of lid margin and is seen in what type of people? | entropion; elderly |
| Turning outward of lid margin and is seen in what type of people? | ectropion; elderly |
| Eyeball protrudes forward and what disease is it seen in? | exophtalmos; hyperthyroidism |
| Thinning of outer 1/3 of the eyebrow is seen in what disease? | hypothyroidism |
| Nasal flaring means what? | Respiratory Distress |
| Pursed lips means what? | COPD |
| What do u check for on scalp & scalp? | Masses, tenderness, pilonidal cysts, pigmented nevi |
| Inflammation of a gland | sialadenitis |
| Pain from palpating or percussing the sinuses sugests what? | sinusitis |
| BUzzing, blowing or wooshing sounds when listening to the arteries? | bruits |
| Bruits of the temporal artery indicate what? | temporal arteritis |
| Evidence of what usually follows a bruit in the temporal or orbital arteries? | seizures, headaches, stroke syndromes, intracranial mass lesions or carotid bruits |
| Bilateral bruits of the orbital arteries may suggest what? | hyperthyroidism |
| Sensory and motor to the jaw? | CN 5 |
| Motor to the face? | CN 7 |
| Sensory tests for CN 5 are what? | light touch to the 3 divisions and corneal reflex |
| Motor tests for CN 5 are what? | Clench/move/open the jaw |
| Test CN 5 in case of what? | facial numbness, paresthesias, pain or motor weakness of the jaw |
| Test of the CN 7 of the face are what? | Inspection of facial assymetry, wrinkle forehead, puff cheeks, frown or smile |
| Weakness of 1/2 of the face suggests what? | Bell's Palsy |
| Weakness of 1/4 of the face suggests what? | Stroke |
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