Nose, Mouth, Throat (Chapter 17) Flashcards
what do we assess of the external nose
symmetry
midline
equal
nasal cavity parts
septum
turbinates
4 paranasal sinuses
frontal
maxillary
ethmoid
sphenoid
what are the 2 paranasal sinuses able to palpate
frontal
maxillary
how do we asses the frontal sinus
push up under eyebrow
how do we assess the maxillary
push up under cheek bone
what do we ask when we assess the paranasal sinuses
tenderness
who might have pain and tenderness of paranasal sinuses
chronic allergies/infection
uvula is within
midline
why do we ask people to say ah
causes arch to rise and brings in tonsils
tongue
papillae/pink and moist
teeth
present
absent
teeth assessment is important for
intubation
who might have tooth losses
older adults
what is important to know about mucosa of different skin tones
color of mucosa is the same
mucosa is still skin so it can break and lead to
infection
what medication might cause bleeding in gums
blood thinners
3 salivary glands
parotid
submandibular
sublingual
what salivary gland is the largest
parotid
where is parotid located
in front of ear
where is submandibular located
under mandible
where is sublingual located
under tongue
aging adult has diminished
smell and taste
what does the diminished smell and taste in older adults contribute to
not wanting to eat which leads to decreased nutrition
aging adults have what type of tissue
atrophic
aging adults have what kind of changes
dental
ill patient
dehydrated = dry mucosa/deep fissures/pilling
trauma
broken nose, deviated septum
epistaxis
bloody nose
dysphagia
difficulty swallowing
where is olfactory receptor located
nose
mucosa of nose
red, moist, smooth
chronic allergies nasal mucosa
grey, pale, swollen
upper respiratory infection nasal mucosa
swollen, bright, red, drainage
test for patency
occulde one nostril and sniff/blow
perforated septum biggest indicator
penlight in one nostril and light on the other side
lips in darker skin
lips are darker skin collor
uvula
midline, rise and fall when saying ahhh, rises in midline on phonation
tonsils appearance
oval, granular, rough
tonsils normal grading
1+ or not visible
indentation of tonsils name
crips
are crips normal
yes
what is abnormal about crips
white exudate
what color should crips be
pink
where are tonsil stones located
crips
how do infected tonsils look like
red, swollen, could have exudate
what is one other thing that is noticeable with exudate
bad breath
tonsils touching or overriding the uvula grade
4+
decreased gag reflex means
decrease swallowing, increased aspiration
do not feed
herpes simplex 1
cold sore, lesions, clear vesicle, heals in 4-10 days
carcinoma
lesions not healed after 2 weeks
refere to a doctor
leukoplakia
chalky, white, raised patches, tongue and cheek, pre cancerous, cannot scrape off, firmly attached
history of smoking/alcohol
candidiasis/monilial infection
white patchy, can scrape off, elderly/cancer = increased antibiotics, babies=oral thrush
aphthous ulcers
canker sore
acute tonsillitis
fever, sore throat, exudate, painful swallowing, >1+
pharyngitis
strep throat= rheumatic fever
why does rheumatic fever appear
lack of antibiotic use
what is rheumatic fever
multisystem inflamatory disease