Resp Exam - Face

Question 1

Face things to look for Resp exam

Answer 1

> Pallor of conjuctivae
Signs of Horner’s syndrome:
-Partial Ptosis (drooping of the eyelid)
-Miosis (Constriction of pupil)
-Anhidrosis (no sweating, feel around the face)
Nose (use torch):
-Deviated septum
-Nasal Polyps
-Enorgred turbinates
Mouth (use torch):
-Central cyanosis (under tongue)
-Reddening of pharynx
-Tonsils
Palpate frontal sinus (above eyebrows)
Palpate maxillary sinus (below eyes)
Palpate ethmoid sinus (next to eye)

Question 2

Pallor of the conjunctivae

Answer 2

Get patient to pull eyelids down and see if overtly light/white

Question 3

Signs of Horner’s syndrome

Answer 3

Miosis - constricted pupil
Ptosis - droopy eyelid
Anhydrosis -lack of sweating, must palpate the face

Question 4

Nose- Resp exam

Answer 4

Ask patient to tilt head back and look at nose with pen torch for:
Nasal polyps - bumps in nose
Septal deviation
Engorged turbinates - just like big old bit of tissue in nose

Question 5

Mouth - Resp exam

Answer 5

Ask patient to open mouth and then use pen torch to look for
Reddening of the pharynx
Tonsil enlargement
Central cyanosis under tounge