phys exam ears and oral cavity
Terms
undefined, object
copy deck
- tinnitus: pulsatile/clicking, external ear
- otitis externa; bullous myringitis; foreign body
- tinnitus: pulsatile/clicking middle ear
- otitis media; vascular anomalies; neoplasm; eustachian tube dysfunction
- tinnitus: pulsatile/clicking inner ear
- vascular anomolies
- tinnitus: pulsatile/clicking CNS
- vascular anomolies; hypertension
- tinnitus: nonpulsatile external ear
- cerumen; tympanic membrane perforation; foreign body
- tinnitus: nonpulsatile middle ear
- otosclerosis; serous otitis media
- tinnitus: nonpulsatile inner ear
- cochlear otosclerosis; meniere's disease; labyrinthitis; noise trauma; drug toxicity; presbycusis
- tinnitus: nonpulsatile CNS
- syphilis; degenerative disease cerebral atherosclerosis
- tinnitus: Spanish
- el zumbido del oído
- tinnitus: French
- le tintement d'oreilles
- tinnitus: Chinese
- 耳鸣(Ä›rmÃng)
- bullous myringitis: tinnitus character
- pulsatile/clicking
- otitis externa: tinnitus character
- pulsatile/clicking
- vascular anomalies: tinnitus character
- pulsatile/clicking
- hypertension: tinnitus character
- pulsatile/clicking
- hypertension: Spanish
- la hipertensión
- hypertension: French
- l'hypertension
- hypertension: Arabic
- Ùَرْط٠ضَغْط٠الدَّم
- hypertension: Chinese
- 高血压(gÄoxuèyÄ)
- cerumen: tinnitus character
- nonpulsatile
- tympanic membrane perforation: tinnitus character
- nonpulsatile
- otosclerosis: tinnitus character
- nonpulsatile
- serous otitis media: tinnitus character
- nonpulsatile
- cochlear otosclerosis: tinnitus character
- nonpulsatile
- meniere's disease: tinnitus character
- nonpulsatile
- labyrinthitis: tinnitus character
- nonpulsatile
- noise trauma: tinnitus character
- nonpulsatile
- drug toxicity: tinnitus character
- nonpulsatile
- presbycusis: tinnitus character
- nonpulsatile
- syphilis: tinnitus character
- nonpulsatile
- syphilis: Spanish
- la sífilis
- syphilis: French
- la syphilis
- syphilis: Arabic
- زÙهْرÙيّ
- syphilis: Chinese
- 梅毒(méidú)
- cerebral atherosclerosis: tinnitus character
- nonpulsatile
- maxillary sinus disease: local pain
- behind eye; cheek; nose; upper teeth; upper lip
- maxillary sinus disease: referred pain
- teeth; retrobulbar
- maxillary sinus disease: diplopia
- yes
- maxillary sinus disease: proptosis
- yes
- maxillary sinus disease: epiphora
- yes
- maxillary sinus disease: nasal obstructiona dn rhinorrhea
- yes
- maxillary sinus disease: epistaxis
- yes
- maxillary sinus disease: loosening of teeth
- yes
- maxillary sinus disease: orbital swelling
- no
- maxillary sinus disease: tenderness over inner canthus of eye
- no
- maxillary sinus disease: tenderness over frontal sinus
- no
- maxillary sinus disease: pus in middle meatus
- no
- maxillary sinus disease: signs of meningitis
- no
- ethmoid sinus disease: local pain
- periorbital; retronasal; retrobulbar
- ethmoid sinus disease: referred pain
- occipital; upper cervical
- ethmoid sinus disease: diplopia
- yes
- ethmoid sinus disease: proptosis
- yes
- ethmoid sinus disease: epiphora
- no
- ethmoid sinus disease: epistaxis
- no
- ethmoid sinus disease: loosening of teeth
- no
- ethmoid sinus disease: orbital swelling
- yes
- ethmoid sinus disease: nasal obstruction and purulent rhinorrhea
- yes
- ethmoid sinus disease: tenderness over inner canthus of eye
- yes
- ethmoid sinus disease: tenderness over frontal sinus
- no
- ethmoid sinus disease: pus in middle meatus
- no
- ethmoid sinus disease: signs of meningitis
- no
- frontal sinus disease: local pain
- supraorbital; frontal
- frontal sinus disease: referred pain
- bitemporal and occipital
- frontal sinus disease: diplopia
- no
- frontal sinus disease: proptosis
- no
- frontal sinus disease: epiphora
- no
- frontal sinus disease: nasal obstructiona dn rhinorrhea
- yes
- frontal sinus disease: epistaxis
- no
- frontal sinus disease: loosening of teeth
- no
- frontal sinus disease: orbital swelling
- no
- frontal sinus disease: tenderness over inner canthus of eye
- no
- frontal sinus disease: tenderness over frontal sinus
- yes
- frontal sinus disease: pus in middle meatus
- yes
- frontal sinus disease: signs of meningitis
- yes
- pathologic process location: conductive hearing loss
- external canal or middle ear
- pathologic process location: sensorineural hearing loss
- cochlea; cochlear nerve; or brain stem
- loudness of speech: conductive hearing loss
- softer than normal
- loudness of speech: sensorineural hearing loss
- louder than normal
- external canal: conductive hearing loss
- may be abnormal
- external canal: sensorineural hearing loss
- normal
- tympanic membrane perforation: conductive hearing loss
- usually abnormal
- tympanic membrane perforation: sensorineural hearing loss
- normal
- Rinne test: conductive hearing loss
- negative
- Rinne test: sensorineural hearing loss
- positive
- Weber test: conductive hearing loss
- heard on "deaf" side
- Weber test: sensorineural hearing loss
- heard on good side (only in severe unilateral loss)
- acute otitis media: hearing loss type
- conductive
- chronic otitis media: hearing loss type
- conductive
- cerumen: hearing loss type
- conductive
- trauma: hearing loss type
- conductive
- serous otitis media: hearing loss type
- conductive
- otitis externa: hearing loss type
- conductive
- eustachian tube blockage: hearing loss type
- conductive
- viral myringitis: hearing loss type
- conductive
- cholesteatoma: hearing loss type
- conductive
- otosclerosis: hearing loss type
- conductive
- mumps labrythitis: hearing loss type
- sensorineural
- maternal rubella during first trimester: hearing loss type
- sensorineural
- birth trauma: hearing loss type
- sensorineural
- congenital syphilis: hearing loss type
- sensorineural
- meniere's disease: hearing loss type
- sensorineural
- ototoxic drugs: hearing loss type
- sensorineural
- viral labyrinthitis: hearing loss type
- sensorineural
- acoustic neuroma: hearing loss type
- sensorineural
- presbycusis: hearing loss type
- sensorineural
- pressure on tragus: acute otitis externa
- painful
- pressure on tragus: acute otitis media
- no pain
- lymphadenopathy: acute otitis externa
- frequent
- lymphadenopathy: acute otitis media
- absent
- external canal: acute otitis externa
- edematous
- external canal: acute otitis media
- normal
- season: acute otitis externa
- summer
- season: acute otitis media
- winter
- tympanic membrane perforation: acute otitis externa
- normal
- tympanic membrane perforation: acute otitis media
- fluid behind drum, possibly perforated
- fever: acute otitis externa
- yes
- fever: acute otitis media
- yes
- hearing loss: acute otitis externa
- slight or normal
- hearing loss: acute otitis media
- yup
- aphthous ulcer (canker sore): painful
- yep
- aphthous ulcer (canker sore): location (oral)
- lips, inner cheeks, tongue, palate---only movable mucosa
- aphthous ulcer (canker sore): course
- recurrent
- aphthous ulcer (canker sore): lesion description
- maculopapular, ulcerates, erythema at border
- herpetic ulcer (cold sore): painful
- yep
- herpetic ulcer (cold sore): location (oral)
- mucocutaneous junction, harde palate, or gingivae
- herpetic ulcer (cold sore): course
- recurrent
- herpetic ulcer (cold sore): lesion description
- vesicles, papules, or ulcers...crusting
- chancre: painful
- no
- chancre: location (oral)
- lips or tongue
- chancre: course
- lasts weeks to months
- chancre: lesion description
- single ulcerated lesion with indurated border; no central necrotic material
- chancre: don't forget
- look for genital lesions
- chancre: Spanish
- el chancre
- chancre: French
- le chancre
- chancre: Arabic
- قَرْØÙŽØ©
- chancre: Chinese
- 下疳 xià gÄn
- squamous cell carcinoma: location (oral)
- mucosa of oral cavity
- squamous cell carcinoma: lesion description
- indurated lesion with indurated and raised border; erythematous base
- erythema multiforme: painful
- yep
- erythema multiforme: location (oral)
- starts as bullae, then ulceration
- erythema multiforme: course
- sudden onset
- denture hyperplasia: painful
- no
- denture hyperplasia: location (oral)
- excess tissue at border of denture
- denture hyperplasia: lesion description
- spongy, erythematous tissue at edge of denture
- candidiasis: painful
- burning
- candidiasis: location (oral)
- tongue, inside a cheek,or throat
- candidiasis: lesion description
- whitish pseudomembrane resembling milk curd. Peels off
- candidiasis: don't forget
- AIDS!!!
- erythroplakia: painful
- no
- erythroplakia: location (oral)
- inside of cheek, tongue, floor of mouth
- erythroplakia: lesion description
- granular erythematous papules that bleed
- leukoplakia: painful
- no
- leukoplakia: location (oral)
- inside of cheek, on tongue, lower lip, or floor of mouth
- leukoplakia: lesion description
- yperkeratinezed whitish lesion that can't be scraped off
- leukoplakia: don't forget
- could be AIDS! Also smoking, booze...
- lipoma: painful
- no
- lipoma: location (oral)
- mass on inner surface of cheek or tongue
- lipoma: course
- slow growing
- lipoma: lesion description
- yellowish, nontender, soft, mobile
- lichen planus: painful
- usually not, if erosive yes
- lichen planus: location (oral)
- inner cheeks or tongue
- lichen planus: lesion description
- white reticulated papules in lacelike pattern, erosive form ulcerated
- traumatic ulcer: painful
- yep
- traumatic ulcer: location (oral)
- in an area of a sore
- traumatic ulcer: course
- week or two
- traumatic ulcer: lesion description
- single lesion with raised erythema at border
- traumatic ulcer: don't forget
- patient can frequently relate the cause
- mucocele: painful
- no
- mucocele: location (oral)
- lower lip or inside of cheek
- mucocele: course
- intermittent
- mucocele: lesion description
- dome shaped cystic lesion; freely mobile
- mucocele: cause
- related to trauma to ductal system of minor labial salivary glands
- hairy tongue: painful
- no, just gagging sensation
- hairy tongue: location (oral)
- top of tongue
- hairy tongue: lesion description
- elongation of filiform papillae on dorsum of tongue with color change to black/brown
- hairy tongue: cause
- antibiotic use, excessive mouthwash, poor oral hygiene
- fordyce's spots: painful
- no symptoms
- fordyce's spots: location (oral)
- buccal mucosa opposite molar teeth
- fordyce's spots: lesion description
- clusters of small yellowish raised lesison
- fordyce's spots: cause
- normal hyperplastic sebaceous glands in older people
- candidiasis: occurrence during primary HIV infection
- common
- candidiasis: occurrence during early HIV disease
- occasional
- candidiasis: Occurrence during advanced HIV disease
- very common
- oral hairy leukoplakia: occurrence during primary HIV infection
- no
- oral hairy leukoplakia: occurrence during early HIV disease
- occasional
- oral hairy leukoplakia: Occurrence during advanced HIV disease
- very common
- kaposi's sarcoma: occurrence during primary HIV infection
- no
- kaposi's sarcoma: occurrence during early HIV disease
- rare
- kaposi's sarcoma: Occurrence during advanced HIV disease
- very common
- linear gingival erythema: occurrence during primary HIV infection
- no
- linear gingival erythema: occurrence during early HIV disease
- common
- linear gingival erythema: Occurrence during advanced HIV disease
- very common
- necrotizing gingivitis: occurrence during primary HIV infection
- no
- necrotizing gingivitis: occurrence during early HIV disease
- rare
- necrotizing gingivitis: Occurrence during advanced HIV disease
- common
- necrotizing stomatitis: occurrence during primary HIV infection
- no
- necrotizing stomatitis: occurrence during early HIV disease
- no
- necrotizing stomatitis: Occurrence during advanced HIV disease
- common
- herpes simplex: occurrence during primary HIV infection
- no
- herpes simplex: occurrence during early HIV disease
- occasional
- herpes simplex: Occurrence during advanced HIV disease
- common
- aphthous ulcers: occurrence during primary HIV infection
- common
- aphthous ulcers: occurrence during early HIV disease
- occasional
- aphthous ulcers: Occurrence during advanced HIV disease
- very common