Week #3: Eyes and Ears
Healthy History Write Up- pg 29
Look at article for abbreviations we shouldn’t use
Pruritus = itching
Syncope= fainting/ pass out
Vertigo= a version of dizziness the room is spinning
Textbook pg. 289 Eye
Eyes:
Central Vision Acquity
o Snellen Chart: reading letters on chart; stand 20 feet from board
Used to test to see if you have 20/20 vision
Ex: 20/200: Cant see at 20 feet what the average person can
read at 200 feet
Covers cranial never 2 (pg 638) optic nerve and tests vision
o Near vision= presbiota
o Visual Field by confrontation: test peripheral vision
o Cornea Light Reflex: Take the pen light and from a distance shine it
into the patient eye and look for a white dot dot in pupil area
Shows that the muscles are intake/ stable if not the same in
each eye then it would show a lazy eye
Shows if you have a weekend muscle
o Diagnostic Position Test: testing the mobility of the muscle of the eyes
Moving on object in an H movement and have the patient only
move their eyes and keep their head still
CN3, 4, 6 are being tested
o External Check- General
Symmetry between the two eyes
Is everything intact and symmetrical
Eyelids and eyelashes open evenly
o Eyeball
Conjunctiva pull lower lids down and look up; looking for
infection
Sclera white part of the eye
o Cornea
o Eversion of the Upper lid: normal range of finding
o Tear Ducts: press on it and see if there is any drainage
o Iris and Pupil:
Looking for:
P- pupils
E-equal/ round
R- reactive
L- light
A- accommodation do the eyes open up (for far
away) or do the pupils narrow (for near)
Red Reflex
o Back of Eye (fundus)
Macula and Optic Disc
o Cover Test
Ears
Palpate/ pull down the ear
Press on tranches can establish if there is an ear infection or if there is in
an infection in eardrum, canal, or problem with the eye
Looking for the tympanic membrane when looking into the ear
o It will appear pearly gray
o Move the ear up and back for an adult
o On the left side: cone of light (left side: 7 o’clock; right side: 5’oclock)
o Parsensada and
Cranial Nerves
1. On - Olfactory
2. Old- Optic
3. Olympus- Ocular Motor
4. Towering- Trochlear
5. Tops- Trigeminal
6. A- Abducens
7. Fin- Facial
8. And- Acoustic
9. German- Glossopharyngeal
10. Viewed- Vagus
11. Some- Spinal Accessory
12. Hops- Hypoglossal
