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Nose, Mouth, and Throat
Dr. Barkley Health Assessment and Health Promotion- Jarvis 5th ed. Ch. 16
41
Nursing
Graduate
01/26/2012

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Cards

Term

TURBINATES

1. How many are there?

2. How are they refered to?

3. What is their function?

Definition

1. three turbinates

2. superior, middle, inferior

3. warm, humidify, and filter inhaled air

Term

PARANASAL SINUSES

1. How many pairs of sinuses are there?

2. Which sinuses are accessble to examination?

3. Which sinuses are smaller and deeper?

 

Definition

1. Four pairs (frontal, maxillary, ethmoid, sphenoid)

2. frontal & maxillary

3. ethmoid & sphenoid

Term
FRONTAL SINUSES
(location)
Definition
in the frontal bone above and medial to the orbits
Term
MAXILLARY SINUSES
(location)
Definition
in the maxilla (cheeckbone)along the side walls of the nasal cavity
Term
ETHMOID SINUSES
(location)
Definition
between the orbits
Term
SPHENOID SINUSES
(location)
Definition
deep within the skull in the sphenoid bone
Term
HARD PALATE
1. What's it made of?
2. What color is it normally? With jaundice?
Definition
1. bone
2. whitish color normally; yellow with jaundice
Term
SOFT PALATE
1. Where is it located in relation to the hard palate?
2. What is it made of?
3. What color is it?
Definition
1. posterior
2. arch of muscle
3. pink
Term
UVULA
Definition
free projection hanging down from the middle of the soft palate
Term
SALIVARY GLANDS
1. How many are there?
2. What are they referred to?
3. What gland goes to which duct?
Definition
1. Three
2. Parotid gland, submandibular gland, sublingual
3. Parotid/stensen's duct
Submandibular/wharton's duct
Sublingual/ many small openings under the tongue
Term
PAROTID GLAND
1. location
2. size
3. associated duct
Definition
1. lies within the cheek in front of the ear extending from zygomatic arch down to angle of the jaw
2. largest out of the 3 glands
3. stensen's duct
Term
STENSEN'S DUCT
(location of opening)
Definition
opens on the buccal mucosa opposite the second molar
Term
SUBMANDIBULAR GLAND
1. location
2. size
3. duct
Definition
1. lies beneath mandible at angle of the jaw
2. walnut size
3. Wharton's duct
Term
WHARTON'S DUCT
(location of opening)
Definition
opens at either side of the frenulum
Term
SUBLINGUAL GLAND
1. location
2. size
3. duct
Definition
1. lies within the floor of the mouth under the tongue
2. smallest gland; almond size
3. many small openings along fold under the tongue
Term
PERMANENT TEETH
(how many)
Definition
adults have 32 permanent teeth (16 each arch)
Term
DECIDUOUS TEETH
1. also known as
2. how many
Definition
1. aka temporary teeth
2. children have 20 deciduous teeth
Term
OROPHARYNX
Definition
separated from the mouth by the tonsillar pillars
Term
TONSILS
1. location
2. composed of
3. grading
Definition
1. behind the tonsillar pillars
2. lymphoid tissue
3. 1+ Visible
2+ Halfway between tonsillar
pillars and uvula
3+ Touching the uvula
4+ Touching each other
Term
NASOPHAYNX
(location)
Definition
continuous with the orophaynx
located above the oropharynx and behind the nasal cavity
Term
BIFID UVULA
1. definition
2. prevalence by race
Definition
1. benign condition where the uvula is split either completely or partially
2. 18% native americans; 10% asians; rare in whites and blacks
Term
CLEFT LIP & CLEFT PALATE
(prevalence by race)
Definition
most common in asians (Japanese) and least common in blacks
Term
ACUTE RHINITIS
1. definition
2. discharge common with rhinitis (consistency)
Definition
1. nasal mucosa is swollen and bright red with an upper respiratory infection

Rhinitis = Red

2. varies from watery and copious to thick, purulent, and green-yellow
Term
CHRONIC ALLERGY
(mucosa appearance)
Definition
swollen, boggy, pale, gray
Term
TONGUE
1. where are oral malignancies most likely to develop?
2. what should be taken note of when inspecting the tongue?
Definition
1. entire U-shaped area under the tongue behind the teeth
2. note white patches, nodules, or ulcerations
Term
TONGUE CANCER
(what increases risk)
Definition
heavy smoking and drinking
Term
TONSIL
1. grading
2. what size is desirable?
3. what may cause enlarged tonsils?
Definition
1. 1+ visible
2+ halfway between tonsillar
pillars and uvula
3+ touching the uvula
4+ touching each other
2. 1+
3. tonsils are enlarged to 2+, 3+, 4+ with an acute infection
Term
EPISTAXIS
1. definition
2. most common site of epistaxis
3. cause of epistxis
Definition
1. nosebleed
2. Kiesselback's plexus in the anterior septum
3. nose picking, forceful coughing or sneezing, fracture, foreign body, rhinitis, heavy exertion, coagulation disorder, HTN (late symptoms)
Term
PERFORATED SEPTUM
1. definition
2. cause
Definition
1. hole in the septum, usually in the cartilaginous part
2. snorting cocaine, chronic infections, trauma from continual picking of crusts, nasal surgery, aferin nasal spray
Term
SINUSITIS
1. definition
2. signs
3. symptoms
Definition
1. facial pain after an upper respiratory infection
2. red swollen nasal mucosa, swollen turbinates, purulent discharge
3. fever, chills, malaise
Term
What are the most common congenital deformities of the head and neck?
Definition
maxillofacial clefts (cleft lip)
Term
What is the most common STD?
Definition
Herpes Simplex 1
Term
HERPES SIMPLEX 1
1. definition
2. prevalence (%)
3. how is it spread
4. triggers that precipitate infection
Definition
1. cold sores, which are a group of clear vesicles with erythematous base --> pustules rupture, weep, crust, and heal (4-10days)
2. 50% of adults
3. direct contact
4. sunlight, fever, colds, allery
Term
MALOCCLUSION
Definition
upper and lower dental arches are not in alignment
Term
EPULIS
Definition
nontender, fibrous nodule of the gums, seen emerging between the teeth; inflammatory response to injury or hemorrhage
Term
GINGIVITIS
1. gum margin appearance
2. usual causes
Definition
1. red, swollen, and bleed easily
2. poor dental hygiene, vitamin C deficiency, hormonal changes (pregnancy, puberty)
Term
KOPLIK'S SPOTS
1. appearance and location
2. early sign of?
Definition
1. small, white-blue spots with red halo scattered over mucosa opposite the molars
2. measles
Term
CANDIDIASIS (MONILIAL INFECTION)
1. definition
2. appearance
3. term for newborns
Definition
1. opportunistic fungal infection that occurs after antibiotic use
2. white, cheesy, curdlike patch on the buccal mucosa and tongue --> scrapes off and leaves a red, raw surface that bleeds easily
3. "thrush"
Term
ATROPHIC GLOSSITIS (SMOOTH, GLOSSY TONGUE)
1. appearance
2. cause
Definition
1.surface slick and shiny
mucosa looks red(decreased papillae)
dryness of tongue and burning
"beefy tongue"
2.vitamin B-12 deficiency (pernicious anemia), folic acid deficiency, iron deficiency anemia
Term
BLACK HAIRY TONGUE
1. definition
2. color
3. cause
Definition
1. not hair, but elongation of filiform papillae and painless overgrowth of mycelial threads of fungal infection on the tongue
2. varies from brown-black to yellow
3. occurs after antibiotic use
Term
ORAL KAPOSI'S SARCOMA
1. appearance
2. where is it located
3. associated with what disease
Definition
1. bruiselike, dark red or violet, confluent macule
2. usually on the hard palate, may be on the soft palate or anywhere else on the body
3. AIDS
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