Health Assessment and SOAP Documentation

<p>Redness, Sensitivity, Vision, Pain (C)</p> Signup and view all the answers

<p>A white or gray ring at the corneal margin (C)</p> Signup and view all the answers

<p>Xerosis (C)</p> Signup and view all the answers

<p>Stuck-on appearance, varying color and degrees of dryness (D)</p> Signup and view all the answers

<p>Post-inflammatory changes (A)</p> Signup and view all the answers

<p>Past Medical History (A)</p> Signup and view all the answers

<p>OLD CARTS (B)</p> Signup and view all the answers

<p>Treatment (B)</p> Signup and view all the answers

<p>Ocular rosacea (C)</p> Signup and view all the answers

<p>Smooth, firm, deep red appearance (D)</p> Signup and view all the answers

<p>Basal cell carcinoma (A)</p> Signup and view all the answers

<p>Cranial nerve II (optic) (B)</p> Signup and view all the answers

<p>Warm compresses and antibiotic eye drops (A)</p> Signup and view all the answers

<p>The patient's distance from the chart (D)</p> Signup and view all the answers

<p>Cranial nerve IV (trochlear) (B)</p> Signup and view all the answers

<p>Increased intracranial pressure (C)</p> Signup and view all the answers

<p>To detect corneal abrasions or other corneal abnormalities (B)</p> Signup and view all the answers

<p>To assist in everting the upper eyelid (B)</p> Signup and view all the answers

<p>Air conduction is louder than bone conduction. (A)</p> Signup and view all the answers

<p>Inward, forward, and upward (C)</p> Signup and view all the answers

<p>Conversion of sound waves into electrical signals (B)</p> Signup and view all the answers

<p>Middle ear infection (A)</p> Signup and view all the answers

<p>5 o'clock (C)</p> Signup and view all the answers

<p>The patient has impaired balance and coordination. (A)</p> Signup and view all the answers

<p>The patient gets 50% or more of the words correct. (D)</p> Signup and view all the answers

<p>Air conduction is equal to or less than half as long as bone conduction. (A)</p> Signup and view all the answers

<p>Infection with pus (A)</p> Signup and view all the answers

<p>Conductive hearing loss (B)</p> Signup and view all the answers

<p>Rinne test (B)</p> Signup and view all the answers

<p>Inner ear organ dysfunction (C)</p> Signup and view all the answers

<p>Conductive hearing loss (A)</p> Signup and view all the answers

<p>Air conduction is longer than bone conduction (B)</p> Signup and view all the answers

<p>The tone is heard evenly in both ears (B)</p> Signup and view all the answers

<p>External exam first, then internal exam (B)</p> Signup and view all the answers

<p>Sound is heard louder in one ear. (A)</p> Signup and view all the answers

<p>Lack of tympanic membrane flexibility. (C)</p> Signup and view all the answers

<p>Cranial Nerve XI (B)</p> Signup and view all the answers

<p>Remove foreign body if visible, flush with sterile saline, and monitor. (D)</p> Signup and view all the answers

<p>Perform a cover-uncover test to evaluate eye muscle movement. (B)</p> Signup and view all the answers

<p>Erythema and swelling. (A)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>7 o'clock (B)</p> Signup and view all the answers

Soft, compressible skin tags found on neck, axillary, groin, and eyelids.

Compressible lesions found on the vermillion border of the lip and ear.

Soft, dome-shaped, pale yellow lesions with umbilication on the face.

Firm, painful nodule on the ear, red to white, 2-6 mm in size.

Mnemonic for assessing eye history: Redness, Sensitivity to light, Vision loss, Pain.

Inward turning of eyelid margin and lashes towards the eye surface.

Outward turning of eyelid margin and lashes away from the eye.

Bacterial infection causing a tender, swollen bump near an eyelash follicle.

A blocked oil gland resulting in a firm, painless lump on the eyelid.

Oculomotor nerve responsible for eye movements and transmitting visual images to the brain.

Double vision caused by an issue with Cranial Nerve IV.

Measures distance vision, expressed as two numbers (e.g., 20/30).

A method using dye to inspect cornea and conjunctiva under UV light.

Transmission of sound waves through the air to the ear canal.

Transmission of sound through the bones of the skull directly to the inner ear.

Occurs when air conduction is longer than bone conduction (AC > BC).

Indicates conductive hearing loss when bone conduction is longer than air conduction (BC > AC).

Condition where air conduction is equal to or less than half the bone conduction (AC ≤ 1/2 BC).

A test for hearing acuity asking the patient to repeat whispered words/numbers from two feet away.

A balance test where the patient stands with eyes closed to check inner ear function.

Normal reflection seen in the anterior inferior quadrant of the tympanic membrane.

A scratch or damage to the cornea causing pain and sensitivity.

Test to check symmetry of light reflections in pupils.

Identifies the weaker eye by observing eye movement when uncovered.

Pain in the ear caused by infection, inflammation, or referred pain.

Test to determine if hearing loss is conductive or sensorineural.

Compares air conduction to bone conduction in one ear at a time.

Long-term ear infection resulting in tympanic membrane changes.

Indicates chronic otitis, repetitive perforations, or tympanosclerosis.

Indicate acute otitis media and serous otitis.

Suggests infection with pus.

Lack of tympanic membrane flexibility can lead to this type of hearing loss.

An acronym for subjective, objective, assessment, plan in health documentation.

History of present illness; details about the current health issue.

A mnemonic for assessing pain: onset, location, duration, characteristics, alleviating/aggravating factors, radiation, timing, severity.

Impaired skin condition in the elderly causing dry, itchy skin.

A skin condition characterized by dry, itchy skin due to vascular changes, particularly in the legs.

A chronic inflammatory skin condition causing redness and sometimes thickening of the skin, often misdiagnosed.

Non-cancerous skin growths with a stuck-on appearance, common on the face and trunk.

Common benign skin growths that appear as smooth, deep red spots, increasing with age.