Nose Flashcards
What to look for during inspection of external nose?
shape, size, and symmetry
How do you assess patency of nares?
occlude each nostril separately and have patient exhale
What do you use the otoscope to inspect?
Any septal deviation, perforation, masses, turbinate color, discharge, bleeding, or foreign bodies
What should you avoid when inserting the nasal speculum?
nasal septum by staying to the outside of the nare
What does transillumination of sinuses detect?
congestion in sinuses
How will fibrosis or atelectasis affect the trachea?
Trachea pulled toward affected lung in volume loss
Which way will the trachea pull if there’s a thyroid enlargement or pleural effusion?
Trachea pulled away from the affected side
What happens to the trachea during tension pneumothrorax?
Trachea will deviate away from the affected side
What happens to the trachea when a lung is collapsed?
The trachea will deviate toward the affected side
What happens to the trachea when an anterior mediastinal tumor is present?
The trachea may be pulled backward
What happens to the trachea during mediastinitis (swelling or inflammation in the area between the lungs)?
The trachea may be pushed forward
Describe the appearance of a normal thyroid
small, smooth, and free of nodules. About 4cm in its broadest dimension.
Which lobe of the thyroid might be slightly smaller?
The right lobe of the thyroid might be smaller than the left lobe
What are abnormal findings during palpation of thyroid glands?
Coarse or gritty findings - inflammatory process
If nodules are present, note their characteristics
Why would you want to auscultate thyroid? With what?
Auscultate thyroid for thyroid bruit with the bell of the stethoscope.
