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