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Head and Neck, Eyes, Ears, Nose, & Throat

Head and Neck, Eyes, Ears, Nose, & Throat. Head & Neck. Review Anatomy of head History Headache Head Injury Dizziness Neck pain Lumps, swelling Surgery. Head & Neck Exam. Inspect and Palpate skull Inspect face Inspect and palpate neck ROM Lymph nodes – know the names Trachea

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Head and Neck, Eyes, Ears, Nose, & Throat

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  1. Head and Neck, Eyes, Ears, Nose, & Throat

  2. Head & Neck • Review Anatomy of head • History • Headache • Head Injury • Dizziness • Neck pain • Lumps, swelling • Surgery

  3. Head & Neck Exam • Inspect and Palpate skull • Inspect face • Inspect and palpate neck • ROM • Lymph nodes – know the names • Trachea • Thyroid gland

  4. Head & Neck Exam • Abnormal findings, • Goiter • Grave’s disease • Adenopathy • Neck masses

  5. http://www.utdol.com/online/content/image.do?imageKey=onco_pix/lymph_8.htm&title=Lymph%20nodes%20head%20and%20neckhttp://www.utdol.com/online/content/image.do?imageKey=onco_pix/lymph_8.htm&title=Lymph%20nodes%20head%20and%20neck

  6. Eyes • Review A&P – 208 -214 • Review Aging Adult changes

  7. Arcus Senilis

  8. Pterygium

  9. Eye: History • Visual problems or changes • Sudden loss of vision is ALWAYS an emergency • Pain • Strabismus, diplopia • Redness, swelling • Past history of ocular problems • Glaucoma

  10. Eye: History • Glasses or contacts • Self care behaviors • Medications • Vision loss

  11. Eye: Physical Exam • Visual acuity • Test visual fields • Extraocular muscle (EOM) • Corneal Light reflex • Diagnostic Positions of gaze • Inspection of External structures • General • Eyebrows • Eyelids and lashes (lag, ptosis, closure)

  12. Eye: Physical Exam • Eyeball • Conjunctiva and Sclera • Lacrimal status • Cornea and lens • Iris & Pupil • PERRLA • Ocular Fundus • Findings: arcus senilis, conjunctival hemorrhage, ophthalmic herpes, ptosis

  13. Ear • Review A&P, pg 289 - 295 • History • Earache • Infections • Discharge • Hearing Loss • Environmental noise • Tinnitus • Vertigo • Self-care

  14. Ear: Physical Exam • Size and shape of Pinna • Tenderness • External meatus • Otoscope pg 308 for normal with landmarks; 317 for serous otitis • EAC • TM • Hearing tests • Whispered voice, Weber, Rinne • Romberg

  15. Nose, Mouth, Throat • Review A&P, 321 - 327 • History: Nose • Discharge • Infections/Colds • Sinus Pain • Trauma • Epistaxis • Allergies

  16. Nose, Mouth, Throat • History: Mouth & Throat • Sores & Lesions • Sore Throat • Bleeding gums • Toothache • Hoarseness • Dysphagia • Altered Taste • Smoking, ETOH • Self-care

  17. Nose: Physical Exam • Inspect • Outer Nose • Nasal Cavity • Sinuses • Palpate or Percuss Sinuses • Sinuses

  18. Mouth & Throat: Physical Exam • Inspect Mouth & Throat • Lips • Dentition • Gums • Buccal Mucosa • Tongue • Palate • Pharynx • Uvula, pillars, tonsils, laryngeal wall • Palpate tongue, sublingual

  19. Mouth & Throat Abnormal • Herpes simplex, pg 333 • Gingival hypertrophy in a phenytoin patient, 337 • Oral Candidiasis (Thrush), pg 340 • Enlarged tonsils, pg 347

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