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Term
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Strabismus
, Assess for inflammation or swelling, externally palpate the frontal and maxillary
facial areas
where? frontal-above eyebrows, and maxillary, below eyes, beneath cheekbones.
palpate for pain, discomfort
Six directions of gaze
Cranial nerve VII
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Term
What is a consensual response of the pupils?
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Pupils constrict only in bright light Pupils react differently based on the
without any reaction to darkness color of the light
Other pupil reacts the same as Pupils dilate independently in
the other pupil to light/ dark response to sound
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, 3 of 76
Term
What is important to remember when using an otoscope?
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Make sure patient doesn't have any immediate tympanic membrane problem,
swollen eardrum.
A perforated eardrum will heal but with scarring = affects hearing! Eardrum
perforation can lead to surgery.
Do you wear glasses/ contacts?
Ask patient to read paper- make sure they are literate. If not literate, ask them to
identify images
Ask patient to look at Snellen eye chart, 20 ft away, covering one eye.
Pale in older adults, patchy pigmentation- common in african americans. Gums
receeding can put patient at risk for tooth loss
Should be in line with neck (stroke may affect this), facial droop (stroke or other
neuro problem)
Normocephalic, hydrocephalic
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, Term
What are medications that can cause ototoxicity?
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Color, motility, position, alignment,
lesions
Cancerous lesions!
What in particular with position?
PTOSIS
cavities, odor, number, abnormal
pattern. Aspirin, Streptomycin,
Decaying teeth- poor hygiene and furosemide, aminoglycosides**
possible meth abuse
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Term
What are we looking at the teeth for ?
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redness, drainage, inflammation
Yellow or green drainage can Color, intactness
indicate infection!