Topic 16 - Examination of the larynx and the trachea. Examination of the cough, cough induction. Flashcards
Which structures to examine for the respiratory tract?
- Nose and paranasal sinuses
- Coughing
- Larynx and pharynx
- Trachea
- Thorax
Methods for external examination of larynx and pharynx:
Inspection
Palpation
Ausultation
Additional examination of larynx and pharynx:
X-ray
Endoscopy
CT, MRI
Parameters to examine during external inspection examination:
- Skin
- Deformity
- Swelling
- Symmetricy
Parameters to examine during external palpation examination:
- Form
- Outline
- Muscles
- Surface of the larynx
- Abnormal masses
- Compression ability and press sensitivity of the arytenoids
- Temperature
- Painfulness
- Fremitus (vibration)
Normal sound when auscultating the larynx and pharynx:
Normally weak stridor under inspiration and expiration
Methods for internal examination of larynx and pharynx:
Inspection
Which parts do we inspect on the internal examination of larynx and pharynx?
Epiglottis
Nasopharynx
Tonsilla
Parameters to examine of the nasopharynx:
-symmetry and synchronous movementof the arytenoids
-rimaglottidis
-color, capillaries and deformation of mucous membranes
Parameters to examine of the tonsilla:
*size, shape
*semilunarfold
*colour
*surface
*symmetry
Tonsillitis
Methods of examination of the trachea:
- External inspection
- Palpation
- Auscultation
Additional examination methods of the trachea
X-ray
Endoscopy
CT, MR
Tracheal fluid sampling
Tracheal fluid analysis
Which instruments can we use to perform tracheal fluid sampling?
Endoscopy or trans-tracheal aspiration
What can we examine with tracheal fluid analysis?
quality
cytological
bacteriologic
mycologica
virologic
parasitologicexamination