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

Explore the anatomy, history, and examinations of the head, eyes, ears, nose, and throat. Learn how to assess abnormalities and potential health issues in these crucial areas for overall well-being. Includes physical exams, common conditions, and self-care tips.

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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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