ENT Flashcards
inspection of the auricles
size, shape, symmetry, deformities or lesions
note position of the auricles
horizontal and verticle positions
inspection of external auditory canal
discharge or odor
palpate auricles, tragus, and mastoid area
tenderness, swelling, or nodules
inspection auditory canal
cerumen, dischare, scaling, erythema, lesions, foreign body
inspect tympanic membrane
landmarks, color, contour perforations,
response to questions during history
ability to hear questions without difficulty
finger rubbing test bilaterally
hear 3 ft equally in both ears
inspection of nose
size, shape, color
inspection of nares
discharge, flaring, narrowing, transverse crease at bridge
palpate the bridge and soft tissues
tenderness, masses, bone or cartilage displacement
patency of nares
difficulty inhaling/exhaling through one or both nares
inspect the nasal cavity using nasal speculum
color, discharge, lesion, turbinates, perforations
test sense of smell with 2 distinct scents
ability to distinguish scents
inspect frontal and maxillary sinus
swelling
palpate frontal and maxillary sinus
swelling, tenderness or pain
inspect internal and external lips
color, symmetry, edema, lesions
inspect buccal/labial mucosa, gums
color, lesions, swelling bleeding
inspect teeth (occlusion)
caries, loose or missing teeth
inspect tongue
coating, ulcerations, variations in size or color
stick tongue out
cranial nerve 11, deviation or tremor
inspect the mouth floor, palate and uvula
floor: swelling or nodules. palate: nodules, torus, palatinus. uvula bifid
inspection of oropharynx
deviation of uvula, tonsillar size and color.
assess soft plate, test CN IX and X
movement of soft palate
inspect posterior wall
color, smoothness, exudate
palpate lips, buccal, labial mucosa and gums
lesions, plauques, nodules, ulcerations, thickening or masses
palpate tongue, floor of mouth and palate
coating, lumps, nodules, ulcerations
pneumatic otoscopy
+ TM is immobile
Weber test
+ sound lateralizes to: (imparied ear = conductive hearing loss) OR (unaffected ear = sensinerual loss)
Rhine test
+ conductive loss BC = AC or BC > AC. (+) sensineural loss AC>BC but less than 2:1
Transilliumnate sinuses
(+) absence of light glow through palate or above the eyebrow
Peform dix-hallpike maneuver
+ nystagmus usually begins after 5-10 seconds
