Term
What are the most common kinds of recurring headaches? |
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Definition
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Term
Where do tension headaches arise? |
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Definition
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Term
Where do cluster headaches arrise? |
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Definition
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Term
Changing or progressively severe headaches increase likelihood of... |
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Definition
tumor, abscess or other mass lesion |
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Term
Extremely severe headaches suggest... |
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Definition
subarachnoid hemorrhage or meningitis |
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Term
Visual aura and scintillating scotomas are associated with... |
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Definition
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Term
coughing, sneezing or changing position of head can increase pain in... |
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Definition
brain tumor and acute sinusitis |
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Term
True of false: family history is normally positive in patients with migraine |
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Definition
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Term
T/F High glucose levels cause blurring |
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Definition
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Term
sudden visual loss suggests... |
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Definition
retinal detachment, vitreous hemorrhage or occlusion of central retinal A. |
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Term
Difficulty with close work suggests _______ which is___sightedness? |
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Definition
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Term
similar to hyperopia but also called aging vision |
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Definition
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Term
difficulty with distant vision is called _______ or ___ sightedness |
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Definition
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Term
slow central vision loss is seen in... |
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Definition
nuclear cataract and macular degeneration |
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Term
peripheral vision loss is seen in... |
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Definition
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Term
moving specks or strands in vision suggest_____ while fixed defects (scotomas) suggest _____ |
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Definition
vitrous floaters; lesions in retina or visual pathway |
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Term
flashing lights or new vitrous floaters suggest detachment of ______ from _____ |
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Definition
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Term
diplopia (double-vision) may result from |
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Definition
-lesion in brainstem or cerebellum -weakness or paralysis of extra-ocular muscles -in only one eye, suggests problem in lens or cornea |
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Term
hyperthyroidism leads to ____ hair |
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Definition
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Term
hypothyroidism leads to ___ hair |
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Definition
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Term
redness or scaling of the scalp can be caused by... |
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Definition
seborrheic dermatitis or psoriasis |
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Term
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Definition
hydrocephalus and paget's disease of bone |
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Term
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Definition
-due to increased adrenal hormone production -round or "moon" face with red cheeks -excessive hair growth may be present in mustache, sideburn and chin areas (hirsutism) |
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Term
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Definition
-edematous face, often pale -swelling appears first around eyes (periorbital edema)and in morning -eyes become slitlike when edema is severe |
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Term
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Definition
-severe hypothyroidism -dull, puffy facies -non-pitting edema mostly around eyes -dry, coarse, thin eyebrows -dry skin |
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Term
Parotid gland enlargement |
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Definition
chronic bilateral asymptomatic parotid gland enlargement -swelling obscures ear lobes -may be associated with obesity, diabetes, cirrhosis and other conditions. -swelling anterior to the ear lobes and above angle of jaw -gradual unilateral enlargement suggests neoplasm -acute enlargement seen in mumps |
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Term
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Definition
-due to increased HGH -produces enlargement of both bone and soft tissues -elongated head -prominent brow, nose and jaw -facial features appear coarsened -nose, lip and ear soft tissues also enlarge |
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Term
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Definition
-decreased facial mobility blunts expression -masklike face results, decreased blinking and characteristic stare -trunk tends to flex forward - patient seems to peer upward -facial skin becomes oily, drooling may occur |
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Term
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Definition
at 20 ft. pt can read print normal pt can read at 200 ft. |
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Term
legal blind at what level? |
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Definition
20/200 or 20 degree or less constricted field of vision |
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Term
enlarged blind spots occur in conditions affecting the _____ |
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Definition
optic nerve. conditions like glaucoma, optic neuritis and papilledema |
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Term
Red inflamed lid margins in often without crusting... |
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Definition
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Term
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Definition
drooping of the upper lid causes include: -myasthenia gravis, damage to CN III, damage to sympathetic nervous supply (Horner's syndrome) -weakened muscle, relaxed tissues and weight of herniated fat may cause senile ptosis -may be congenital |
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Term
Lid retration and exopthalmos |
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Definition
-wide-eyed stare -note rim of sclera between upper lid and iris -often due to hyperthyroidism Exopthalmos -eyeball protrudes forward -if bilateral suggests infiltrative opthalmopathy of graves' hyperthyroidism. -edema of eyelids and conjunctival injection my be associated -unilateral seen in graves disease or tumor or inflammation in orbit |
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Term
excessive tearing is due to... |
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Definition
increased production (conjunctival inflammation and corneal irritation) or impaired drainage (ectropion and nasolacrimal duct obstruction) |
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Term
yellow sclera indicates... |
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Definition
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Term
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Definition
harmless yellowish triangular nodule in bulbar conjunctiva on either side of iris -occurs frequently with aging, first on nasal and then temporal side |
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Term
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Definition
localized ocular redness from inflammation of episcleral vessels -vessels appear salmon pink and are movable over scleral surface -may be nodular or may show only redness and dilated vessels |
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Term
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Definition
painful, tender red infection in a gland at the margin of the eyelid |
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Term
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Definition
subacute nontender and usually painless nodule involving a meibomian gland -may become acutely inflamed but, unlike a sty, will point inside the lid rather than on lid margin |
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Term
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Definition
slightly raised, yellowish, well-circumscribed plaques that appear along the nasal portions of one or both eyelids -may accompany lipid disorders |
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Term
Inflammation of lacrimal sac |
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Definition
AKA dacrocystitis -swelling between lower eyelid and nose. -acute inflammation is painful, red and tender -chronic inflammation is associated with obstruction of the nasolacrimal dut -prominent tearing -pressure on sac produces regurgitation of material through the puncta of the eyelids |
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Term
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Definition
Thin grayish white arc or circle not quite at the edge of the cornea. -normal w/ aging but also seen in younger people, esp. blacks -in young people, suggests hyperlipoproteinemia -usually benign |
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Term
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Definition
superficial grayish white opacity in cornea -secondary to old injury or inflammation -size and shape are variable -don't confuse with opaque lens of cataract which is visible on a deeper plane and only through pupil |
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Term
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Definition
triangular thickening of the bulbar conjunctiva that grows slowly across the outer surface of the cornea -usually from nasal side -reddening may occur -may interfere with vision as encroaches on pupil |
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Term
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Definition
opacities of lens visible through the pupil; most common in old age -nuclear and peripheral -both look gray on black pupil w/ flashlight -black against red reflex in opthalmoscope -nuclear starts in middle, peripheral looks like wheel spokes |
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Term
if the iris bows abnormally far forward, what happens? |
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Definition
light from the side will cast a crescent-shaped shadow on edges of iris -this increases risk for narrow-angle glaucoma (sudden increase in intraocular pressure when drainage of aqueous humor is blocked |
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Term
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Definition
the common form of glaucoma -normal spatial relationship between iris and cornea |
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Term
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Definition
constriction of the pupils |
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Term
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Definition
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Term
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Definition
-blunt trauma to eye -open-angle glaucoma -impaired parasympathetic nerve supply to iris (in tonic pupil and oculomotor nerve paralysis) -sympathetic nerve supply (Horner's syndrome) |
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Term
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Definition
-AKA adie's pupil -pupil is large, regular and usually unilateral -rxn to light is severely reduced and slowed, even absent -very slow near rxn, but present -slow accommodation causes blurred vision -DTRs often decreased |
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Term
oculomotor nerve (CN III) paralysis |
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Definition
-dilated pupil is fixed to light and near effort - ptosis of upper eyelid and lateral deviation of the eye are often, but not always, present -atropine-like eyedrops create a more dilated and fixed pupil |
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Term
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Definition
-caused by sympathetic nerve damage -affected pupil, though small, reacts briskly to light and near effort -ptosis of eyelid is present -perhaps, loss of sweating on forehead -if congenital, affected iris is lighter in color (heterochromia) |
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Term
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Definition
-accommodate but do not react to light -AKA Argyll Robertson pupils -tertiary syphillis (in CNS) |
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Term
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Definition
problems in external or middle ear |
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Term
sensorineural hearing loss |
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Definition
from problems in the inner ear, cochlear nerve or its central connections to brain |
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Term
people with sensorineural hearing loss have trouble ... |
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Definition
understanding speech and noisy environments make it worse |
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Term
T/F in conductive hearing loss, noisy environments help |
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Definition
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Term
medications that affect hearing include... |
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Definition
-aminoglycosides - aspirin - NSAIDs - quinine -furosemide and others |
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Term
pain in ear, if associated with respiratory infection is most likely... |
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Definition
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Term
T/F tinnitus is common and increases in frequency with age |
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Definition
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Term
tinnitus when associated with hearing loss and vertigo suggests... |
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Definition
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Term
feeling unsteady, lightheaded or "dizzy in the legs" suggests_____ while feeling pulled to one side suggests true vertigo from an inner ear problem or ______ |
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Definition
cardiovascular etiology; lesion of CN VIII |
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Term
movement of the auricle and tragus (tug test) is painful in _____ but not in _____ |
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Definition
otitis externa; otitis media |
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Term
tenderness behind the ear may be present in _____ |
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Definition
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Term
testing the near reaction is helpful in diagnosing... |
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Definition
Argyll Robertson and tonic (Adie's) pupils |
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Term
lid lag is characteristic in... |
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Definition
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Term
poor convergence is seen in... |
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Definition
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Term
contraindications for mydriatic drops include... |
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Definition
-head injury and coma (need to monitor pupil responses -narrow-angle glaucoma |
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Term
absence of red reflex suggest... |
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Definition
-opacity of lens (cataract) -opacity of vitreous less commonly -detached retina -retinoblastoma in kids |
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Term
if the lens has been removed surgically retinal structures appear______ and you can see _______ of the fundus |
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Definition
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Term
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Definition
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Term
in myopia light rays don't focus on the retina but _______ to it and retinal structures appear _______ than normal |
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Definition
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Term
loss of venous pulsations in pathologic conditions such as head trauma, meningitis or mass lesions is an early sign of... |
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Definition
elevated intracranial pressure |
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Term
macular degeneration is an important cause of __________ in the elderly |
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Definition
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Term
types of macular degeneration |
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Definition
-dry atrophic (more common but less severe) -wet exudative -neovascular |
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Term
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Definition
-nontender nodular swellings covered by normal skin deep in the ear canal -nonmalignant overgrowths -may obscure the drum |
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Term
in otitis externa the canal is often... |
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Definition
swollen, narrowed, moist, pale and tnder and may be reddened |
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Term
chronic otitis externa the skin of the canal is often... |
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Definition
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Term
red bulging drum indicates |
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Definition
acute purulen otitis media |
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Term
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Definition
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Term
unusually prominent short process and prominent handle that looks more horizontal suggest... |
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Definition
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Term
what decreases eardrum mobility |
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Definition
-serous effusion -thickened drum -purulent otitis media |
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Term
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Definition
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Term
during weber test, in unilateral conductive hearing loss, sound is heard in ... |
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Definition
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Term
during weber test, pt with unilateral sensorineural hearing loss will hear (sound will lateralize to )... |
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Definition
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Term
Rinne test, if pt has conductive hearing loss sound is heard through bone... |
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Definition
as long or longer than air |
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Term
rinne test, if pt has sensorineural hearing loss air conduction... |
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Definition
lasts longer than bone conduction |
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Term
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Definition
-firm, nodular -hypertrophic mass of scar tissue extending beyond area of injury -may develop on any scarred area but most comon in shoulders and upper chest -more common in darker skinned people -recurrence may follow treatment -may result from ear piercing - ugly |
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Term
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Definition
-deposit of uric acid crystals characteristic of chronic tophaceous gout -hard nodules in helix or anithelix -may discharge chalky white crystals through skin -also may appear near joints: hands, feet, and other areas -usually develops after chronic sustained high blood levels of uric acid |
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Term
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Definition
-raised nodule -lustrous surface and telangiectatic vessels -slow-growing malignancy -rarely metastasizes -growth and ulceration may occur -more frequent in fair-skinned people overexposed to sunlight |
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Term
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Definition
-formerly callled sebaceous cyst -dome-shaped lump in dermis forms a benign closed sac attached to epidermis -dark dot (blackhead) may be visible on surface -histologically either 1. epidermoid cyst - common on face and neck 2. pilar (trichilemmal) cyst, common on scalp -both may become inflamed |
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Term
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Definition
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Term
part of eardrum superior to malleus |
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Definition
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Term
two types of perforations of eardrum |
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Definition
1. central - do not involve margin *more common 2. marginal - involve margin -in both, drum loses landmarks |
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Term
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Definition
-large, chalky white patch with irregular borders -deposition of hyaline material within layers of tympanic memb. -sometimes follow a sever episode of otitis media -does NOT impair hearing |
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Term
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Definition
-retract medially (away from examiner) -sharp outline of umbo, malleolar folds -handle of malleus is more horizontal |
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Term
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Definition
-usually caused by viral upper respiratory infection (otitis media with serous effusion) -also caused by sudden changes in atmospheric pressure i.e. flying, diving (otitic barotrauma) -eustachian tube can't equalize air pressure in middle ear with that of outside air -->air is partly or completely absorbed from the middle ear into bloodstream -->serous fluid accumulates there instead -symptoms: fullness and popping sensations in ear -mild conduction hearing loss -air bubbles may be present |
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Term
acute otitis media with purulent effusion |
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Definition
-caused by bacterial infection -symptoms: -earache, fever, hearing loss -eardrum reddens, loses landmarks and bulges laterally (toward dr's eye) -diffuse redness develops -may lead to rupture --->purulent discharge -hearing loss is conductive -much more common in children than adults |
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Term
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Definition
-viral infection characterized by painful hemorrhagic vesicles -vesicles appear on tympanic memb. or canal or both -symptoms:earache -blood-tinged discharge from ear -conductive hearing loss -drum is reddened -landmarks obscured -different viruses may cause it, including mycoplasma |
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Term
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Definition
-drainage from nose -associated with nasal congestion, stuffiness or obstruction -accompanied by sneezing, watery eyes and itchy eyes, nose and throat |
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Term
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Definition
-viral infections -allergic rhinitis "hay fever" -vasomotor rhinitis -itching indicates allergic response |
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Term
rhinorrhea related to seasons or environmental contact indicates... |
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Definition
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Term
excessive use of decongestants can ____ symptoms, causing ______ |
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Definition
worsen; rhinitis medicamentosa |
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Term
drugs that cause stuffiness |
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Definition
-oral contraceptives -reserpine -guanethidine -alcohol |
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Term
pain and tenderness in face or sinuses, headache or fever associated with rhinorrhea indicate... |
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Definition
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Term
if congestion is limited to one side only consider... |
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Definition
deviated septum -foreign body -tumor |
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Term
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Definition
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Term
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Definition
-trauma -inflammation -drying and crusting of nasal mucosa -tumors -foreign bodies *bleeding disorders may contribute |
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Term
tenderness of nasal tip or ala suggests.. |
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Definition
local infection such as furuncle |
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Term
T/F when inspecting pts nose, you can see superior turbinate |
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Definition
false, you can normally only see middle and inf. |
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Term
in viral rhinitis, mucosa is ______ vs. in allergic rhinitis mucosa may be ______ |
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Definition
red and swollen; pale, bluish or red |
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Term
T/F lower portion of nasal septum is common source of epistaxis |
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Definition
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Term
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Definition
-pale, semitranslucent masses -usually come from middle meatus |
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Term
nasal septum perforation may be caused by... |
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Definition
trauma, surgery and cocaine use |
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Term
nasal ulcers may result from... |
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Definition
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Term
afferent pupillary defect (marcus gunn pupil) |
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Definition
optic nerve is damaged and afferent impulse is diminished and pupil will dilate when light is shined into semi-constricted pupil |
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Term
transillumination of sinuses |
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Definition
absence of glow from light shone through nasal or maxillary sinus indicates thickened mucosa or secretions in sinus |
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Term
streptococcal pharyngitis (strep throat) symptoms |
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Definition
-fever -pharyngeal exudates -anterior lymphadenopathy esp. in absence of cough |
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Term
bleeding gums are most often caused by... |
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Definition
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Term
sore tongue may be caused by local lesions as well as by systemic illness. i.e. apthous ulcers (canker sores) are ______ and smooth tongue is due to _____ |
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Definition
viral infection; nutritional deficiency |
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Term
causes of chronic hoarseness |
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Definition
-smoking -allergy -voice abuse -hypothyroidism -chronic infections i.e. tuberculosis -tumors |
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Term
t/f enlarged tender lymph nodes do not normally accompany pharyngitis |
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Definition
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Term
with goiter, thyroid fxn may be _______ |
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Definition
increased, decreased or normal |
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Term
intolerance to cold, preference for warm clothing and many blankets, decreased sweating all suggest... |
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Definition
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Term
intolerance to heat, increased sweating, palpitations and involuntary weight loss suggest... |
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Definition
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Term
a black line is present on the gingiva in ... |
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Definition
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Term
swollen interdental papilla are seen in ... |
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Definition
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Term
asymmetric protrusion of tongue is due to ... |
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Definition
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Term
in CN XII lesion, tongue protrude to _____ side |
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Definition
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Term
most common cancers of the mouth |
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Definition
1. lip 2. tongue (occurs most often at side of tongue and then at base) |
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Term
soft palate fails to rise and uvula deviates to side in ... |
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Definition
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Term
in CN X lesion the ____ fails to rise and the uvula deviates to the ______ side |
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Definition
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Term
tender lymph nodes suggest... |
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Definition
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Term
hard or fixed lymph nodes suggest ... |
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Definition
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Term
tracheal deviation may signify... |
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Definition
important problems in thorax such as: -mediastinal mass -atelectasis (collapsed lung) -large pneumothorax |
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Term
thyroid is ____ in graves disease |
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Definition
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Term
thyroid is ____ in hasimotos thyroiditis and malignancy |
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Definition
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Term
in thyroiditis, thyroid is... |
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Definition
tender, has benign and malignant nodules |
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Term
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Definition
-starts w/ softening of skin at angles of mouth, then fissuring -may be due to nutritional deficiency/overclosure of mouth from no teeth/ill-fitting dentures -saliva wets and macerates infolded skin -->secondary infection w/ candida |
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Term
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Definition
-results from excessive exposure to sunlight -affects primarily lower lip -fair-skinned men who work outdoorsare most often afffected -lip loses normal redness -lip may become scaly, somwhat thickened and slightly everted -b/c solar damage-->predisposition to carcinoma |
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Term
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Definition
-AKA cold sore, fever blister -produces recurrent and painful vesicular eruptions of lips & surrounding skin -small cluster of vesicles develops-->break forming yellow-brown crusts -heal within 10-14 days |
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Term
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Definition
-diffuse, nonpitting, tense swelling of dermis and subcut. tissue -develops rapidly -typically disappears over subsequent hours or days -usually allergic in nature (sometimes associated with hives) it does NOT itch |
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Term
hereditary hemorrhagic telangiectasia |
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Definition
-multiple, small red spots on lips -spots may also be visible on face, hands and in mouth -spots are dilated capillaries that may bleed when traumatized -pts often have nosebleeds and GI bleeding |
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Term
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Definition
-pigmented spots on lips that are more prominent than on surrounding skin -pigment in buccal mucosa helps confirm dx -pigmented spots may be found on face and hands -multiple intestinal polyps often associated |
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Term
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Definition
-lesion Primary syphilis -may appear on lip rather than genitalia -firm, button-like lesion that ulcerates and becomes crusted -may resemble carcinoma or crusted cold sore -infectious! use gloves |
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Term
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Definition
-usually affects lower lip -may appear as scaly plaque, ulcer w/o a crust, or as a nodular lesion -fair skin & prolonged exposure to sun are common risk factors |
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Term
t/f if tonsils are large, then they must be infected |
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Definition
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Term
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Definition
-red throat with white exudates -together with fever and enlarged cervical lymph nodes increase probability of group A strep infection or infectious mono (epstein-Barr virus) |
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Term
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Definition
-red, vascular pharynx -due to several kinds of viruses and bacteria -no fever/exudate/enlarged lymph nodes means no strep A or mono |
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Term
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Definition
-rare b/c of vaccines -acute infection caused by corynebacterium diphtheriae -prompt dx may lead to life-saving treatment -dull, red throat w/ gray exudate present on uvula, pharynx and tongue -airway may become obstructed |
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Term
thrush on palate (candidiasis) |
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Definition
-scrapes off (leukoplakia does not) -yeast infection due to candida -may appear elsewhere besides palate -thick, white plaques that are somewhat adherent to underlying mucosa -predisposing factors are: prolonged antibiotic/corticosteroid treatment and/or AIDS |
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Term
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Definition
-deep purple color lesion (not necessarily present) -lesion may be raised or flat -pt's with AIDS - palate is common place for tumor |
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Term
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Definition
-midline bony growth in hard palate -fairly common in adults -size and lobulation vary -harmless |
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Term
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Definition
-normal sebaceous glands that appear as small yellowish spots on buccal mucosa or lips -not to worry |
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Term
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Definition
-small red spots that result when blood escapes from capillaries into tissues -often caused by biting cheek (buccal mucosa) -may be due to infection, trauma, or decreased platelets |
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Term
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Definition
-thickened white patch -Does NOT scrape off -can occur anywhere in mouth -example results from chewing tobacco -this type of irritation leads to cancer -painless |
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Term
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Definition
-common among teenagers and young adults -gingival margins are reddened and swollen -interdental papilla are blunted, swollen and red -brushing teeth often makes gums bleed -plaque-the soft white film that leads to gingivitis-is not readily visible |
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Term
acute necrotizing ulcerative gingivitis |
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Definition
-uncommon form of gingivitis -occurs suddenly in adolescents and young adults -accompanied by fever, malaise and enlarged lymph nodes -ulcers develop in interdental papillae and then destructive (necrotizing) process spreads along gum margin -gums bleed easily -breath is foul |
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Term
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Definition
-enlarged gums -swollen into heaped up masses that can cover teeth -can be caused by dilantin (anti-seizure) therapy, puberty, pregnancy and leukemia |
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Term
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Definition
-AKA epulis, pyogenic granuloma -localized gingival enlargement -forms tumorlike mass that usually originates in interdental papilla -red, soft and bleeds easily -about 1% of pregnancies |
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Term
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Definition
-in elderly, worn-down teeth -yellow-brown dentin is exposed -gums also recede |
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Term
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Definition
-smaller, more widely spaced than normal -notched along biting surfaces -upper central incisors most often affected -sign of CONGENITAL SYPHILLIS |
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Term
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Definition
-benign -scattered smooth areas w/o papilla -make maplike pattern w/ normal areas |
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Term
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Definition
-yellowish to brown or black elongated papilla -benign -may follow antibiotic therapy -may also occur spontaneously |
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Term
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Definition
-aka scrotal tongue -appear w/ increasing age -benign -may accumulate food |
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Term
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Definition
-aka atrophic glossitis -smooth, often sore -lost its papillae -suggests deficiency in vitamins or treatment w/ chemotherapy |
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Term
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Definition
-infection w/ candida -thick white coating that CAN be scraped off -may also occur w/o white coating -seen in immunosuppressed conditions esp. AIDS |
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Term
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Definition
-white raised area that CANNOT be scraped off -seen in HIV and AIDS -can lead to cancer |
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Term
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Definition
not clinically significant |
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Term
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Definition
-aka canker sore -painful -round ulcer that has halo of reddened mucosa -heals in 7-10 days but may recur -viral in nature |
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Term
mucous patch of syphillis |
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Definition
-secondary syphillis -painless -highly infectious -slightly raised and covered by gray memb. |
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Term
carcinoma in floor of mouth |
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Definition
-ulcerated lesion -common location for carcinoma -more reddened area of mucosa (erythroplakia) suggests possible malignancy |
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Term
diffuse enlargement of thyroid |
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Definition
-includes isthmus and lateral lobes -no palpable nodes -causes include: grave's disease, hashimoto's thyroiditis, endemic goiter -autoimmune |
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Term
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Definition
-may be cyst or benign tumor -malignant? -risk factors: irradiation, hardness, rapid growth, fixation, enlarged cervical nodes, occurrence in males |
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Term
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Definition
-suggests metabolic rather than neoplastic process -positive family hx and continuing nodular enlargement are risk factors for malignancy |
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