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HEENT
finding and significance
| FInding | Significance |
|---|---|
| AC twice as long as BC with RInne test | Normal hearing |
| AC/BC both lessened in 1 ear | Nerve conduction deafness |
| BC>AC with RInne test | serous otitis media |
| Bilateral dilated pupils | cocaine, barbiturate, amphetamine abuse |
| bilateral pin point pupils | heroin abuse |
| bilateral swollen optic discs | raised intracranial pressure, brain tumor |
| blue sclera | osteogenesis imperfecta |
| blurred margins of macula or pigmentation | macular degeneration |
| copper or silver wiring of retinal arterioles | hypertensive retinopathy |
| cupped optic disc | chronic glaucoma |
| enlarged tongue | hypothyroidism in infants |
| exopthalmos | hyperthyroidism |
| flame hemorrhages | diabetic retinopathy |
| foul, purulent unilateral nasal discharge | sinusitis, foreign body |
| goiter with brittle, dry, coarse hair | myxedema (hypothyroidism) |
| goiter with exophthalmos, tachycardia | Graves (hyperthyroidism) |
| gray ring around cornea ( arcus senilis) | hyperlipidemia |
| lid lag | hyperthroidism |
| large head in child with open fontanelle | hydrocephalus |
| loss red pupil light reflex | cataract, neuroblastoma |
| loss of outer third eyebrow | hypothyroidism or leprosy |
| midline neck mass moves with tongue | thyroglossal cyst |
| midline bony mass in hard palate | torus palatines |
| mucopurulent discharge from ears | otitis media |
| nasal septum perforation | cocaine abuse |
| pale conjunctiva | anemia |
| periorbital edema | cellulitis, cavernous sinus thrombosis/myxedema |
| painful red eye, discharge | conjunctivitis |
| painful eye circumcorneal redness | iritis |
| bilateral ptosis | myasthenia gravis |
| unilateral ptosis | Horner's |
| puffy eyelids in the morning | renal dysfunction |
| tophus on helix of ear | chronic gout |
| beef red tongue | b12 defiicient |
| magenta tongue | b2 deficient |
| xanthalesma | yellow plaque in upper medial eyelid, hyperlipidemia |
Created by:
polystachya
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