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NUR613 - HEENT Exam 1 Questions And Answers
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NUR613 - HEENT Exam 1 Questions And AnswersWhat are some common or concerning symptoms of the Head - ANSWER Headache
hx of head injury
Differential Dx for the Head - ANSWER Headaches- Migraine, Tension, Cluster, Chronic
Infection
Meningitis*
Subarachnoid Hemorrhage*
Mass/ Tumor*
*life-threatening
What are Primary Headaches - ANSWER Without any underlying cause
Questions to ask with headaches - ANSWER How long?
Has it gotten worse?
Duration?
New onset (after 50 years old
Worse headache?
Thunder Clap in head?
Any associated Sx (N/V)
Recent Injury?
Extreme Extension/ Flexion?
Stiffness in neck?
Vision changes?
,Pregnant/ Cancer/ HIV?
Most important questions to ask for headaches - ANSWER Severity
Pattern
Associated Sx
New/ Sudden onset headache Differential? - ANSWER An origin that's pressing on the
brain stem:
Tumor
Infection
Chronic Headache - ANSWER Family Hx (usually 30-50% association)
What makes it better/ worse? - ANSWER Positional could be :
meningitis or sinusitis
Headaches + Diplopia = ? - ANSWER Injury to brain stem/ cerebellum
Tumor
What are some common or concerning symptoms of the Eyes - ANSWER Visual
disturbances
Spots (scotomas)
Flashing lights
Use of corrective lenses
Pain
Redness
Excessive Tearing
,Double Vision (diplopia)
Differential Dx for the Eye - ANSWER Hyperopia, Presbyopia, Myopia
Corneal Injury
Infection
Acute Iritis
Acute Glaucoma
Detatched Retina
Conjuctivitis
Macular Degeneration
Questions to ask for eyes - ANSWER Sudden/ Gradual?
Double Vision?
Loss of peripheral Vision?
Difficulties with seeing things close (Hyperopia)?
Difficulties with seeing things far (Myopia)?
Is it unilateral or bilateral?
FLoaters/ Blindspot?
Pain?
Painless Changing in Vision = ? - ANSWER Infection- Viral/ Bacterial Conjunctivitis
Subconjunctival hemorrhage
Macular Degeneration
Detached Retina
Central Venous Occlusion
Changing in Vision + Pain = ? - ANSWER Disturbances and Changes in the Cornea or
, Anterior Chamber:
Foreign body
Cornea Abrasion
Ulccertive Cornea
Acute Rhinitis
Acute Glaucoma
Redness of Eyes could be - ANSWER Injury
Acute Iritis
Acute Glaucoma
Photophobia is associated with - ANSWER Migraine
Acute Iritis could be due to - ANSWER Systemic Infection
HErpes
TB
Autoimmune
- require immediate attention
What eye problem requires urgent attention - ANSWER acute glaucoma
Sparkphotophyasis (flashing lights) may be associated with - ANSWER Migraines
(prodrome)
Scotoma is - ANSWER a(n) area(s) of vision loss
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