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Abnormalities HAE2

Health Assessment Exam 2

Hyperthyroidism Intolerance to heat, bulging eyes, facial flushing, tachycardia, increased BP, diarrhea, finger clubbing, breast and thyroid enlargement
Hypothyroidism Intolerance to cold, receding hairline, edema, fatigue, anorexia, constipation, dry skin, slow speech
Hypothyroidism Late manifestations: bradycardia, weight gain, thickened skin, subnormal temp
Acute Lymphatic Infection Bilaterally enlarged, warm, tender, firm, mobile
Chronic Lymphatic Infection Clumped
Cancerous Lymphatic Unilateral, hard, nontender, fixed
Enlarged Supraclavicular Lymphatic R/t neoplasm in thorax or abdomen (rare)
Strabismus Cross-Eyed
Exophthalmos Bulging Eyes
Ptosis Drooping Eye
Ectropion Lower lid outward; excessive tearing
Entropion Lower lid inward; increased risk for secondary infections
Hordeolum Inflammation of follicle; usually staph (sty)
Conjunctivitis Pink-eye
Bacterial Conjunctivitis Unilateral
Noninfectious Conjunctivitis White pus in eye
Infectious Conjunctivitis Yellow pus in eye
Corneal Arcus Ring around iris (If under 40 r/t lipid disorder - common over 60)
Cataract Lens is transparent/yellow/gray; risk factors (steroids, UV exposure, smoking, diabetes, aging)
Aniscoria Unequal pupils; 20% normal occurrence (benign)
Retinoblastoma Tumor Lacks red reflex in eye (white area instead on pupil in photograph)
Chronic Otitis Media Yellow-Amber Tympanic Membrane
Otitis Media/Crying/Pregnancy Bright Red Tympanic Membrane
Drum Retraction Prominent Tympanic Membrane Landmarks
Squamous Cell Carcinoma Often on top helix (risk factors: fair-skinned and UV exposure)
Cutaneous Cyst Benign, closed, firm sac (blackhead may be visible)
Basal Cell Carcinoma Lustrous surface; slow-growing and rarely does metastasizes (common occurance)
Tophi Uric Acid Deposit (Gout) on ear
Keloid Firm and nodular scar tissue (common in dark pigmented people)
Darwin Tubercule Small and painless at ear helix
Otitis Externa Pain, red, and serous drainage from ear - inflammation of auditory canal and external surface of tympanic membrane
Otitis Media Inflammation of the middle ear; painful over mastoid (bulging TM)
Foreign Body Purulent, foul smelling discharge
Conductive Hearing Loss Mechanical Dysfunction of the middle/external ear
Sensorineural Hearing Loss Pathology of cranial nerve III, ototoxic meds, trauma, tumors, and prolonged exposure to loud noise
Postnatal Hearing Loss Weight less than 1500 grams (3.3lbs), high Bilirubin levels, trauma, hypoxic episodes
Swimmer's Ear Narrowed, swollen, moist, and tender ear condition
Exotosis Painless, nodular skin-covered swellings
Diabetic Ketoacidosis or Alcohol or Starvation Fruity Breath
Kidney Failure Ammonia/Fishy Scented Breath
Liver Disease Musty Scented Breath
Meniere Disease Disorder of progressive hearing loss (some genetics related)
Glaucoma Increased pressure (r/t ocular pain, blurry vision, red, eye, dilated pupil)
Crepitus Crackling/grating sound or feeling under the skin or around the lungs due to the presence of air
Allergies Pale and boggy mucosa (turbinates) or Cobblestone appearance
Hyperopia Farsighted
Myopia Nearsighted
Ankyloglossia Tongue fixed to floor of mouth
Leukoplakia White/gray patches inside the mouth (often precancerous)
Presbyopia Slow to accommodate
Hearing Loss Indicated by monotone speech or erratic volume
Otitis Externa Painful movement; pain felt when touch auricle
Cerebrospinal Fluid (Trauma/Surgery) Clear drainage from ear
Retinopathy of Prematurity r/t Resuscitative/Oxygen use with infants
Anemia Pale lower eye under eyelid
Miosis Pupil size <2mm (r/t overdose, glaucoma, medicine induced)
Mydriasis Pupil size >6mm (r/t lesions, hypoxia, CN III damage, acute angle glaucoma)
Pregnancy Mild cornea edema and thickening, HTN, "greasy" tears
Older Adults Decreased corneal sensitivity; excessive dryness or tearing
Presvycusis Bilateral sensiorineural hearing loss a/w aging
Intestinal Obstruction Foul (feculent) breath
Nasal infection or Lung abscess Foul (putrtid) breath
TB Cinnamon breath
Tonsillitis, Respiratory Infection, GERD Halitosis
Presbyopia Hyperopia and impaired near vision from loss of lens elasticity
Astigmatism Light cannot be focused clearly due to irregular curvature of lens
Amblyopia Reduced vision; normal in appearance
Extropia Outward deviation of eye
Esotropia Inward deviation of eye
Tuberculosis "Cold" lymph nodes
Palpating angle of the jaw Differentiating mumps from cervical adenitis
Normal TM lacks conical appearance and has a diffuse light reflex
Created by: TedMed
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