Nose, mouth and throat Flashcards
A 70-year-old woman complains of dry mouth.
The most frequent cause of this problem is?
Related to medications she may be taking
The sinuses that are accessible to examination are the?
Frontal and ethmoid
Nose
Subjective data
- Discharge
- Frequent colds
- Sinus pain
- Trauma
- Allergies
- Altered smell
External nose structures
- Bridge and tip
- Nares- separated by the columella
- Nares- widen into vestibule
- Ala- lateral side of nose tissue
Nasal cavity function?
- Covered in ciliated membrane
- Filter matter
- Warm air
- Mucous filters dust and bacteria
Nasal cavity anatomy?
- Turbinatesd/-humidify air
- Septum/-division of the nasal cavity
- Aterior part-kiesselbach plexus/-nose bleeds
- Olfactory nerve hairs/- on roof of nasal cavity- temporal lobe
Inspection and palpation of the sinus area
If sore or tender chronic allergies or infection
sinusitis
Sinusitis
The cavities around the nasal passages become inflamed
- *Acute sinusitis**
- by a cold or allergies and may resolve on its own
Chronic sinusitis
-by an infection or growths
lasts up to eight weeks and may be caused
Palpation and inspection of nose
- Notice deformity, asymmetry, inflammation, –lesions
- hold one narse- and ask the patient to sniff
if can’t sniff-obstruction
Subjective Data: Mouth & Throat
- Sores or lesions
- Sore throat
- Bleeding gums
- Toothache
- Hoarseness (symptom)
- Dysphagia (Difficulty swallowing foods or liquids)
- Altered taste
- Smoking, alcohol consumption
- Dental care pattern
- Dentures or appliance
- Self-care behaviors
Orophyarnx- separated from mouth by tonsil pillar
Tonsils- lymphoid tissue - look more granular, enlarged during childhood
Nasopharynx- continuous with orophyanx- above it.
adenoids, and eustachian tube
4 point grading scale for the size of tonsils
- *1+** Visible
- *2+** Halfway between tonsillar pillars and uvula
- *3+** Touching the uvula
- *4+** Touching one another
Developmental Competence: Aging Adult
- Gradual loss of subcutaneous fat
- Nasal hairs grow coarser & stiffer
- Diminished sense of taste and smell
- Decreased in salivary secretion
- Natural tooth loss
- Trouble with mastication
What is Nasal epistaxis?
Nosebleeding
The most common site of nosebleeds is:
Kiesselbach plexus
The function of the nasal turbinates is to?
Warm the inhaled air
Nasal flaring in the infant indicates___________.
Respiratory distress
Nasal flaring/nostrils widen while breathing
Bleeding gums are most often caused by __________
gingivitis
It also called gum inflammation
