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H&P ENT (Eyes (Patho (signs/symptoms (Red, Teary, diplopia), scotoma…

- - - - damaged axons
    - - Red
      - Teary
      - diplopia
    - - spot from vessel stroke
      - damage rods or cones
      - Fixed?
        
        Yes
        
        No
        
        Floater
    - - macula degeneration
  - - - hyperthyroidism
        
        exopthalmos
      - peri orbital celulitis
        
        LIFE THREATENING
  - - - penguecula
        
        yellowish triangle beside iris,
      - presbyopia,
      - corneal arcus
  - - - dacfycytosis
  - - - Consensual-
      - eye open
      - look up, down & medially
    - - superior oblique
  - - - cut chiasm ant-post
        
        lose lateral vision
    - - cut deep to chiasm
        
        lose contralateral & same side medial
- - - - w/ URI
    - - hypothyroidism
    - - more in asmthtic, bby, immunocompromised
      - bleeds if scraped off
  - - - GERD
      - URI
      - tumor
      - fumes
      - pharyngeal nerve
  - - - tongue out
        
        CN 12 no deviation
      - aaaah
        
        CN X& XII
    - - scarlet fever
- - - - central room spinning
        
        labyrinth
        
        CN VIII lesion
        
        Vertical nystagmus
      - peripheral-I'm spinning
        
        loose crystal dislodged often by cough
        
        Normal CN VIII
        
        Positional change, still sops spinning
        
        Horizontal nystagmus
      - vague dizzyness
        
        anxiety
      - lightheadedness
        
        Most often cardiovascular (orthostatic changes, vasovagal responses, palpitations etc
    - - often preceded by cold/ nose issue
      - prodromal
        
        convalescence
  - - - conductive
        
        cerumen
        
        External
        
        middle ear
      - sensorineural
        
        CN VIII
        
        innner ear
        
        cochlea
        
        permanent-hair cell damage
  - - - no ear drops!
  - - - tuning fork on mastoid process wait til no longer felt, then pull forward, should be heard since air is more conductive than bone
- - - - temporal
        
        temporal artitis
        
        TMJ
      - tension
        
        from leaning forward trapezius, nuchal ligament
        
        improve w/ stretching
      - tooth
        
        sensitive for sinus
      - behind eyes
    - - fontenels close 18-24 mo ant 2 mo post
  - - - Brudinski's sign
        
        flex neck hips & knees flex + normal is to relax
      - Kernig's
        
        flex hip & knee, then straighten. Pain on extension +
      - stiff neck, worse w/ movements
    - - hemorrhage
    - - BP-sharp rise & drop
      - breathe out nose & mouth closed ^ intra-abdominal pressure
    - - fever, night sweats weight loss
      - papilledema, neck stiffness, focal neurologic deficits
- - - - submental
    - - submandibular
      - tonsillar
      - others in ancer
- - - - Warfarin
        
        lots of spinach
      - anterior
        
        stops easier
      - posterior
        
        goes down back of throat
        
        bigger vessels
      - recurrent?