PD
Terms
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- Aphthous ulcer
- - cancker sore in mouth
- Enlargement of the supraclavicular node
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- suggests possible metastasis from a thoracic or abdominal malignancy
- especially on the left - Nodes
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- tender nodes suggest inflammation
- hard or fixed nodes suggest malignancy - Goiter
- - general term for enlarged thyroid gland
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Marcus Gunn Pupil
-seen in Swinging flashlight test - afferent pupillary defect...pupil does not constrict when light moved from good eye to bad eye
- Cushings Syndrome
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- increased adrenal hormone
- moon face w/ red cheeks
- excessive hair growth - Nephrotic Syndrome
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- face is edematous and often pale
- swelling ususally appears first arount the eyes and in the morning - Myxedema
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- sever hypothyroidism
- dull, puffy face
- Edema does not pit
- Hair and eyebrows are dry, coarse, and thin, skin dry - Acromegaly
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- enlargement of facial bone and soft tissue
- head elongated and prominence of forehead, nose, and lower jaw - Parkinson's disease
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- decreased facial mobiltiy blunts experession
- decreased blinking... stare -
Visual Field Defect
Horizontal defect - - occlusion of a branch of the central retinal artery may cause a horizontal defect
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Visual Field defect
Blind eye - - lesion of the optic nerve produced unilateral blindness
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Visual Field Defect
Bitemporal hemianopsia -
- lesion at the optic chiasm may involve only fibers crossing over to opposite side
- temporal field blocked -
Visual Field Defect
Homonymous hemianopsia -
- lesion of the OPTIC TRACT
- interrups fibers originating on the same side in both eyes -
Visual Field Defect
Homonymous Quadrantic Defect - - partial lesion of teh optic radiation in the temporal lobe
- Lid retraction
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- often seen in Graves Hyperthyroidism
- rim of sclera seen - Dacryocystitis
- inflammation of the lacrimal sac
- Horners Syndrome**
- - affected pupil, though small, reacts to light and near effort. Ptosis of the eyelid is present. Involved iris can be lighter in color than other
- Tonic Pupil (Adie's Pupil)
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- pupil is large regualr and ususally unilateral.
- reaction to light is slowed or even absent
- see p 217 - Anisocoria
- - unequal pupils