wellness health assesment

optic nerve

cranial nerve #2 transmits visual information from the retina to the brain

oculomotor

third cranial nerve, controlling eye movement, and pupil constriction

trochlear

fourth and smallest cranial nerve, allow for downward and inward eye movement

abducens

sixth cranial nerve, responsible for controlling the lateral rectus muscle to abduct (outwardly rotate) the eye

migrane

pain, nausea, and visual changes

sinus headaches

pain is behind browbone/ and or cheek bones

cluster headaches

pain is in and around one eye

tension headache

pain like a band squeezing head

neck headache

pain is at the top or back of the head

tmj headache

pain is at temple in front of ears

rhinorrhea

a thin watery nasal discharge

sinusitis

a sinus infection

epistaxis

nosebleeds

xerostomia

a dry mouth with decreased saliva

nasal polyp

soft, noncancerous, teardrop-shaped growths in the nose or sinuses, usually caused by chronic inflammation from allergies, asthma, or infections

dysphagia

difficulty swallowing

goiter

enlargement of the thyroid gland

bruit

soft wooshing sound, listen for with a stethoscope

thrills

feel it, vibration felt by hand by palpation

dysphasia

impairs expression, comprehension, writing, or reading, caused by brain damage

preauricular

in front of ear

posterior auricular

superior to mastoid process

occipital

base of the skull

submental

midline behind tip of mandible

submadibular

halfway between angle and tip of mandible

juglodigastric

upper neck below the posterior belly of the digastric muscle and in front of the internal jugular vein

superficial cervical

located in the neck, specifically along the external and anterior jugular veins, superficial to the deep cervical fascia

deep cervical chain

located along the internal jugular vein deep within the neck's carotid sheath, mainly covered by the sternocleidomastoid muscle

posterior cervical

located in the posterior triangle of the neck, bordered by the trapezius, sternocleidomastoid muscle, and clavicle

supraclavicular

located in the hollow just above the collarbone (clavicle) at the base of the neck

vertigo

a sensation of spinning or moving, often caused by inner ear problems like BPPV, which leads to dizziness, nausea, and balance issues

tinnitus

ringing in ears

sclera

white of the eye, gives eye its shape

conjunctiva

protection of the eye

lacrimal glands and ducts

where tears come from

diplopia

double vision

asses peripheral vision

confrontation test

assess ocular motility

6 cardinal fields of gaze

asses for pupil size and consensual response

PERRLA

asses for visual acuity

snellen chart

amsler grid

a simple, 10x10 cm square, hand-held, or printable chart with a grid of lines and a central dot, used to screen for or monitor diseases affecting central vision

confrontation test

assessing for peripheral vision, patient covers eye you put up a number and change angles and ask them at one point they are able to see your hand or finger

ocular motility test

patient should not move head, follow finger or object with just their eyes

convergence and accomodation

bring object or finger close to patient face and assess the eyes for crossing and dilation of pupils

PEERLA

pupil size and consensual response, looking at color, shape, and symmetry

PERRLA

pupils, round, reactive, to light and accomodation

glaucoma

fluid build up

sensorineural hearing loss

not able to understand a person’s words, inner ear affected

mixed hearing loss

combination of conductive and sensory neuronal types in the same ear

conductive hearing loss

mechanical dysfunction of external or middle ear

whispered voice test

assess for impaired or high frequency hearing, mainly for elderly.

weber test

assess for unilateral hearing loss, top of the head symmetrical, for elderly

rinne test

to assess hearing by bone conduction

parotid

the largest paired salivary glands, located in front of and below each ear,

submandibular gland

located beneath the floor of the mouth, responsible for producing 60–70% of unstimulated saliva

cerumen in ear

aka earwax, a natural, protective blend of secretions, dead skin cells, and hair that lubricates the ear canal and shields it from water, infection, and foreign bodies

snellen chart results 20/40

your able to see at 20 feet what a patient with normal vision sees at 40 feet

thyroid assessment

not able to palpate normal thyroid, feels like a thin wet sponge.

thyroid posteriorly

right hand palpates

thyroid anteriorly

left thumb palpates