Otolaryngology

Question 1

I’m all plugged up, can’t hear

Answer 1

GA
Recheck temp
HEENT: Nostril patency, nasoscopy, palpate/percuss sinuses, oropharynx w light, tongueblade, percuss teeth, I/P ear/mastoid, gross hearing, Weber, Rinne, otoscopy, head/neck lymph
PULM: Auscultate A/P/L
CV: Auscultate

Question 2

Throw up when I turn my head

Answer 2

GA
Orthostatics, Recheck HR
NEURO: Romberg, gait, RAM, CN II-XII, grip strength, great toe strength
HEENT: Inspect mucous membranes, fundo, Weber, Rinne, otoscopy
CV: Auscultate

Question 3

Brother made me come in, I can hear fine

Answer 3

GA
HEENT: nasoscopy, oropharynx w penlight, tongueblade, I/P ear/mastoid, gross hearing, Weber, Rinne, otoscopy
LYMPH: head/neck nodes

Question 4

Throat is killing me

Answer 4

GA
Recheck temp
SKIN: turgor, moist conjunctivae, inspect full body, palpate rash
HEENT: Observe for “hot potato,” nasoscopy, oropharynx w penlight, tongue blade, otoscopy, head and neck lymph
PULM: Auscultate A/P/L
CV: Auscultate
ABD: Hepatosplenomegaly?
NEURO: nuchal rigidity, Kernig, Brudzinski