ent examinaton
DESCRIPTION
PHYSICAL EXAMINATION OF EAR, NOSE AND THROATTRANSCRIPT
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EAR, NOSE & THROAT EXAMINATION
PRESENTED BY.,
K.DEVI PBBSC(N) II YEAR
VEE CARE COLLEGE OF NURSING
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PHYSICAL ASSEMENT HISTORY COLLECTION
PHYSICAL EXAMINATION INCLUDES
INSPECTION
PALPATION
AUSCULTATION
USE OF OTOSCOPE
ADMINISTRATION OF HEARING ACUITY TESTS
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HISTORY COLLECTION1. PREVIOUS INJURY
2. MEDICAL HISTORY
3. BLEEDING DISORDER
4. FAMILY HISTORY
USE OF DRUGS OR ALCOHOL
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INSPECTION 1. POSITION
2. SYMMETRY
3. AURICLE FOR LESIONS
4. DRINAGE
5. NODULES
6. TENDERNESS
7. ULCERATED LESIONS
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PALPATION
1. MASTOID AREA BEHIND EACH AURICLE
2. ASSESS FOR TENDERNESS
3. WARMTH OR REDNESS
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ABNORMAL FINDINGS
LOW SET EARS
EAR DISCHARGE
REDNESS OR ODOR
SWOLLEN
CHRONIC OTITIS MEDIA EAR CANAL
USUALLY THICKENED AND ITCHY
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OTOSCOPIC EXAMINATION1. AUDITORY CANAL
2. TYMPANIC MEMBRANE
3. MALLEUS
4. COLOUR OF THE CERUMEN
5. SPECULUM – EAR DISCHARGE
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EAR ASSESSMENT TEST
1. HEARING ACUITY TEST
2. WEBER’S TEST
3. RINNE TEST
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WEBER’S TEST
1. USING TUNING FORK – (BONE CONDUCTION)
ABNORMAL FINDINGS
2. SENSORINURAL HEARING LOSS
3. SOUND IS PRESENT – UNAFFECTED EAR
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WEBER’S TEST
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RINNE TEST1. USING TUNING FORK INSTRUMENT
2. TONE SOUND
3. TO CHECK TONE STOPS – NOTE TIME IN
SECONDS
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RINNE TEST
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CONDUCTIVE HEARING LOSS PRODUCE
1. ABNORMAL WEBER’S TEST RESULTS
2. NEGATIVE RINNE TEST RESULTS
3. IMPROVED HEARING AND NOISY AREAS
4. A QUIET SPEAKING VOICE
5. DIFFICULTY HEARING WHEN CHEWING
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SENSONEURAL HEARING LESS PRODUCES
1. POSITIVE RINNE TEST.
2. POOR HEARING IN NOISY AREAS.
3. DIFFICULTY HEARING HIGH-FREQUENCY
SOUNDS.
4. COMPLAINTS THAT PEOPLE MUMBLE OR SHOUT.
5. TINNITUS.
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NOSE EXAMINATION1. INSPECTION
2. PALPATION
INSPECTION
3. POSITION, SIZE AND SHAPE
4. SYMMETRY
5. COLOUR
6. CYANOSIS
7. NOSTRILS
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PALPATION
1. DISCOLORATION
2. TENDERNESS
3. SWELLING
4. DEFORMITY
5. NASAL DISCHARGE
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ABNORMAL FINDINGS
1. OBSTRUCTION OF THE NASAL MUCOUS
MEMBRANE
2. DEVIATED SEPTUM
3. TRAUMA – SKULL FRACTURE
4. EPISTAXIS
5. SINUSITIS, ALLERGIES
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THROAT EXAMINATION1. INSPECTION
2. PALPATION
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INSPECTION
TONSLS – PINK
OBSERVE FOR MOVEMENT OF THE SOFT
PALATE AND UVULA
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PALPATION1. NOTE LUMPS
2. THYROID GLAND
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ABNORMAL FINDINGS
1. LARYNGITIS
2. ACUTE TONSILLITIS