Nose and Throat Exam Flashcards Preview

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Flashcards in Nose and Throat Exam Deck (51)
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1

What should you note about nasal discharge?

color
consistency
odor
amount
timing
bilateral/unilateral?
CABCOT

2

Normal nasal discharge is

clear/colorless
thin (not viscous)
no odor
some discharge (none is not normal)

3

Bacterial infection may have what type of discharge?

green/yellow

4

classic presentation of a nasal foreign body is

unilateral, malodorous, nasal discharge

5

patency

how well you breathe through your nose
(congestion, timing, uni/bilateral)

6

associated symptoms that are typical with nasal complaints

dental pain
burning
headache
fever

7

things to observe when beginning nasal exam

swelling
deformity (bony abnormality)
erythema

8

things to palpate during nasal exam

tenderness (at joint of nasal bone and cartilage)
crepitus (cracking sound or sensation-two bones rubbing together)
warmth
any skin lesions?

9

things to observe when looking into the nasal canal

discharge
septum (midline? deviated? blood vessels visible?)
inferior turbinate (blob of pink tissue)

10

viscous discharge is called

crusting

11

kesovexplexus

most common spot of nose bleeds (area in the anterior nasal canal that is highly vasculated)

12

turbinate

filtering units in the bone
covered with rich vasculated mucosa

13

what does the maxillary sinusitis make the inferior turbinate look like?

coated in purulous fluid

14

what are you noting when palpating the maxillary and frontal sinuses?

tenderness
bony abnormalities
hard when touched (could indicated cancer)

15

transillumination can be used to diagnosis

fluid in the sinuses (should be able to see light on hard palate if sinuses are free of fluid-place the light on the cheek)

16

nasal polyps

translucent, pearly mass in the nose
sign of chronic irritation (drugs, smoking, allergies)
may originate in the nose or in the sinuses
pt presents with persistent nasal congestion

17

deviated septum

can be caused by trauma
>70% occlusion would indicate surgery
may cause hypertrophy of the turbinate on the "free" side
CC may be sleep apnea/snoring

18

nasal vestibulitis

usually bacterial staph (MRSA) infection
red bulbous tip of their nose
red just inside the nose (vestibule)

19

nasal foreign bodies may be combined with

impetigo (from scratching and breaking the skin)
-strep and staph infection

20

best way to deal with nasal foreign bodies

try to blow it out

21

new links are being made between oral health and

CV disease

22

what to note w/lip inspection

color and moisture
lumps
ulcers
cracking
scaliness

23

leukoplakia

precursor to cancer from ill-fitting dentures

24

what to note w/oral mucosa inspection

color
ulcers
white patches/red patches
nodules

25

what to note w/ gum inspection

color
caries
ulcers

26

when patient phonates, the uvula should

elevate

27

what does having the pt swallow test for?

nerve test

28

floor of mouth holds

wartons duct
mandibular salivary gland

29

asymmetry of tongue indicates

cranial nerve problem

30

steps of the mouth exam

1. evert the lip (you can or have pt do it)
2. using pen light to visualize
3. use two tongue blades
4. palpate (careful with old people-dementia and little people)

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