Shared Flashcard Set

Details

Eval- Head and Neck
Head and Neck Injuries
50
Other
Undergraduate 2
12/13/2010

Additional Other Flashcards

 


 

Cards

Term
C5
Definition
lateral arm

shoulder abduction- supraspinatus, deltoids
elbow flexion- biceps

nerves: suprascapular, axillary, musculocutaneous
reflex: biceps tendon
Term
C6
Definition
lateral arm, thumb, index finger, 1/2 middle finger

elbow flexion- biceps (musculocutaneous)
wrist extension- extensors (radial)

reflexes: biceps (musco.), brachioradialis (radial)
Term
C7
Definition
middle finger

elbow extension- triceps (radial)
wrist flexion- flexor carpi radialis/unlaris (radial/ulnar)
finger extension- (radial)

reflex- triceps
Term
C8
Definition
ring finger, little finger, medial forearm

finger flexion- flexor digitorum superficialis and profundus (median/ulnar)
Term
T1
Definition
medial arm

finger abduction- dorsal interossei (ulnar)
finger adduction- palmar interossei (ulnar)
Term
Hypoglossal nerve
Definition
tongue protrusion

"can you stick out your tongue and wiggle it for me?"
Term
Optic nerve
Definition
Sight

"How many fingers am I holding up?"
Term
Facial
Definition
"close your eyes tightly"
"smile and show your teeth"
"puff your cheeks for me"
"whistle"
Term
Vestibulocochlear Nerve
Definition
hearing and equilibrium

"can you hear this?" (snap behind head)
stand on one foot with eyes closed
Term
Glossopharyngeal Nerve
Definition
Taste

"can you taste this?"
"can you swallow for me?"
Term
Vagus Nerve
Definition
gag reflex

"say ahhh"
Term
Accessory Nerve
Definition
resisted shoulder shrug
Term
Trigeminal Nerve
Definition
"can you feel this?" (touch face)
"clench your teeth and dont let me pull your jaw down"
Term
Olfactory Nerve
Definition
"can you smell this?"
Term
Abducens Nerve
Definition
lateral eye movement
Term
Oculomotor Nerve
Definition
pupil constriction
Term
Trochlear Nerve
Definition
up and down eye movement
Term
Temporomandibular Joint Dislocation
Definition
acute TMJ dislocation caused by blow to lateral side

symptoms: misalignment of teeth, crepitus, deformity, inability to open/close mouth, jaw pain

management: on field check ABC's, immobilize with collar, refer out
Term
Temporomandibular Joint Dysfunction
Definition
chronic
reducing- clicking of clunking
non reducing- freezing of joint

symptoms: jaw pain, headache, earache, dizzy, decreased ROM, clicking and crepitus, tenderness, misalignment

management: TMJ assessment, referral
Term
Facial Lacerations
Definition
symptoms: profuse bleeding, may mask fracture, pain

management: control bleeding and dress wound, refer with 6-8 hours, activate EMS for avulsion of ear, nose, or tongue
Term
Throat Contusions/ Laryngeal Injury
Definition
"clothes lining"

contact with outstretched arm, severe pain, coughing, narrowed airway, difficulty swallowing

possible injury to corotid artery/tissues. keep airway open, ice in intervals, stabilize
Term
Gingivitis
Definition
bacteria overgrowth destroys tissue around teeth

symptoms: bleeding, swollen, shiny, red, tender gums

management: see dentist for teeth cleaning to reduce inflammation. can leave to periodontitis (deep bacteria growth)
Term
Dental Caries
Definition
cavities/ tooth decay due to bacteria. sugar and startch lead to acid which causes erosion

symptoms: holes in teeth, brown or black spots, sensitivity

management: fillings, caps, crowns, root canal
Term
Nasal Fracture
Definition
symptoms: pain, swelling, racoon eyes, immediate bleeding

management: direct pressure to bridge, ice, referral, activate EMS if LOC
Term
Deviated Septum
Definition
obstruction of airway

symptoms: bleeding, nasal pain, possible hematoma

management: compression, ice, may drain hematoma
Term
Corneal Abrasions
Definition
scraped eye/cornea

symptoms: blurry vision, headache, sensitivity to light, watery eyes, redness, pain

management: eye shield, contact physician
Term
Subconjunctival Hemorrhage
Definition
bleeding in white part of eye caused by sneeze, cough, pressure build up

signs: fullness in eye under lid, red outline in white of eye

management: check BP
Term
Iritis
Definition
Acute. Red eye caused by minor trauma, inflammation of iris

signs: pressure within globe, sensitivity to light, pain and burning.

managment: test pupillary reaction, refer to primary care, NSAIDS
Term
Ruptured Globe
Definition
severe trauma to globe

signs: cornea ruptured or sclera spill their contents, deformed globe, anterior chamber deepened. teardrop shaped pupil, a lot of pain, total or partial loss of vision

managment: EMS, shield eye, no eye drops
Term
Periorbital Ecchymosis
Definition
bruising around eye due to direct blow

signs: ecchymosis, swelling, pain, difficulty opening eye, blurry vision, headache

management: ice, NSAIDS
Term
Foreign Bodies
Definition
object stuck in eye (not impalement)

signs: sharp pain, burning, irritation, tearing, redness, scratching sensation, blurred vision, bleeding

management: flush with saline solution or water, remove with Qtip if possible
Term
Conjunctivitis
Definition
infection of the conjunctiva caused by bacteria, allergies, or virus from air or upper resp. conditions

signs: red, swollen, sensitive ti light, burning, itchy
watery discharge= viral (pink eye)
green/ yellow discharge= bacterial

management: antibacterial eye drops
Term
Hyphema
Definition
pooling of blood in anterior chamber of eye from blunt trauma

signs: light red coloring then after 2 hours red pooling of blood in inferior aspect of eye or whole chamber, partially/fully blocked vision, increase pressure in eye

management: patch/shield eye, refer out
Term
Hordeolum
Definition
sty- infection in eyelash follicle or sebaceous gland caused by staph organism. spread by rubbing

signs: redness, skin elevates with pus, burning/itching, pressure, pain

management: warm compress
Term
Post Traumatic Headaches
Definition
bow or trauma to back of head. headaches that last for a long time after injury to head or neck

signs: main pain near occipital lobe, poor concentration, emotional, dizziness, depression, fatigue, sensitivity to light

management: neurological exam, CT scan, MRI, meds
Term
Migraine
Definition
headache that happens in episodes, 4-72 hours long, neurological disorder

signs: throbbing pain, nausea, photophobia, auras 10-30 min before, dizziness

management: prevention, prescription meds, rest
Term
Second Impact Syndrome
Definition
result of 2nd concussion while symptomatic from the first, disrupts auto regulation of blood supply- vasodilation- increase inter cranial pressure

signs: symptoms of grade 1 concussion, then 2 min later collapse, semi comatose, rapid dilated pupils, loss of eye movement, resp failure

management: activate EMS, assess ABCs
Term
Post Concussion Syndrome
Definition
concussion symptoms lasting more than three months of inital injury

signs: (early) dizzy, confusion, headache, blurred vision, disorentation, (late) LOC, poor memory, irritability, depression, anxiety, bad sleep

management: treat symptoms individually
Term
Cervical Fractures
Definition
broken neck

signs: restricted movement, numbness, paralysis, pain in chest, neck, extremities

management: stabilization, cervical collar, spineboard, activate EMS, maintain airway
Term
Facet Joint Dysfunction
Definition
caused by compression of spine (sprain inside joint)

signs: pain in neck, usually worse when leaning backward, point tenderness, muscle guarding

management: refer to neurologist/ physician, NSAIDS, heat/ice, collar
Term
Torticollis
Definition
stiff neck caused by piece of synovial membrane trapped in facet joint of cervical vertebrae or holding head in awk position

signs: point tenderness, muscle spasm, restricted head movement, muscle guarding

management: traction, modalities, soft collar
Term
Cervical Sprain
Definition
whiplash. sudden snap of head, tearing tissues of anterior, posterior, infraspinaous/supraspinous ligaments

signs: muscle guarding, tenderness, restricted motion, tenderness over transverse spinous processes

management: neuro testing, RICE, cryotherapy, head, NSAIDs
Term
Cervical Strain
Definition
results from sudden turn of head or forced flexion, extension, or rotation. involves traps, scalenes, sternocleidomastoid

signs: same as sprain but symp last longer, localized pain, point tenderness, restricted motion

management: RICE, cervical collar, ROM, isometric/isotonic exercises
Term
Cervical Stenosis
Definition
narrowing of spinal canal that compresses spinal cord

signs: burning or tingling, motor weakness in arms or legs, pain, walking, numbness, radiating pain

management: NSAIDs, PT, cervical collar
Term
Spondyloysis
Definition
degeneration of disks in neck, usually due to repeated stress, form of arthritis

signs: radicular pain to arms/shoulders, neck stiffness, loss of sensation in shoulders. headaches

management: NSAIDS, PT, cortizone shots, possible surgery
Term
Impacted Cerumen
Definition
blocked ear canal due to earwax

signs: muffled or complete loss of hearing, little to no pain

management: irrigation w/ warm water
Term
Rupture of Typamic Membrane
Definition
rupture of ear drum due to change in pressure or direct blow

signs: loud pop w/ pain following, nausea, dizziness, vomitting

management: usually heals themselves 1-2 weeks
Term
Auricular Hematoma
Definition
"cauliflower ear". caused by repeated episodes of blunt trauma or shearing forces to ext ear

signs: swelling within skin of outer ear, pooling of blood between skin and cartilage, pain in external/middle ear

management: cast to prevent more fluid accumulation. refer to physician
Term
Otitis Media
Definition
"middle ear infection" inflammation of ears mucous membrane caused by upper resp infections, bacteria, or viral invasions

signs: buildup of fluid in middle ear and opaque, reddened and buldging membrane, hear loss, pain

management: oral antibiotics
Term
Otitis Externa
Definition
"swimmers ear" infection of external auditory meatus caused by inadequate drying of ear

signs: redness in area, clear discharge, enlarged lymph nodes, constant pain/pressure, itching in ear/hearing deficit

management: antibiotics, dry wick in ear
Supporting users have an ad free experience!