What is macular degeneration?
Decreased central vision
,How do you detect macular degeneration?
Use Amsler grid
What is decreased accommodation called?
Presbyopia, focusing power
What are abnormal findings of aging in HEENT?
Neck pain
Crepitus
Dizziness
Jerkiness
Limitation of movement
What are abnormal respirations?
Tachypnea
Bradypnea
Hyperpnea
Kussmaul
Hypopnea
Cheyne-Stokes
What are absent bowel sounds?
No sounds after 5 minutes of continuous listening
What does absent bowel sounds mean?
If it's associated with abdominal pain and rigidity, it's a surgical emergency.
What does a normal ear look like?
Uniform pink
Hair on the outer 2/3
Some cerumen
No lesions
No discharge
No foreign bodies
TM is translucent and pearly gray
Landmarks visible
, Adult Otoscopic Exam
Pull auricle upward and back
What are the landmarks of the ear?
Umbo
Handle of Malleus
Light Reflex
Concavity at umbo
What is the relationship between AC and BC sound?
Air-conducted should be 2x as long as bone-conducted.
What does an anterior pointed cervix indicate?
Retroverted uterus
What does a prominent lateral pulsation suggest?
Aortic aneurysm
How do you identify an aortic regurgitation murmur?
Heard with diaphragm with pt sitting and leaning forward.
How can you hear an Austin-Flint murmur?
Heard w/ bell at apex
What is an Austin-Flint murmur?
Severe aortic regurg murmur
Where is an ejection click heard?
In the second intercostal space
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