1Subject Data: Nose
Discharge
Frequent Colds
Sinus Pain
Trauma
Epistaxis (Nose Bleeds)
Allergies
Alerted Smell
2Subjective Data: Mouth/Throat
Sores or lesions
Sore throat
Bleeding gums
Toothache
Hoarseness
Dysphagia (trouble swallowing)
Altered taste (age decrease in receptors)
Smoking/Alcohol
Dental Care Patterns (how often brush teeth, floss, etc. see dentist)
Dentures/appliances
Teeth are big warning sign of your health
3Objective Data Preparation and Equipment
Sitting
Eye level
Penlight
Tongue blade/depressor
4Nose: Inspect and Palpate
External Nose
Nostril patency--plug nostril and breathe in
5Turbinate Visualization
spins air to warm up for lungs
inferior
middle
superior
note any septal deviation -> deep suction should be run down the side without deviation
6Sinuses: Inspect and Palpate
frontal above the eyebrows
maxillary below the eyes
use firm pressure and thumbs
7Note the following with sinuses
overt pain
tenderness
swelling (facial edema)
8What does dysphagia occur with?
pharyngitis
gastroesophageal reflux disease
stroke
neuromuscular disease
esophageal cancer
9What does xerostomia mean?
dry mouth
10What is rhinitis?
nasal mucosa is swollen and bright red URI
11What is another name for tongue?
buccal mucosa
12Mouth: Inspect and Palpate
buccal mucosa
lips
teeth
throat
tonsils
posterior pharyngeal wall
13What word describes missing teeth?
dentition
14What is the normal finding for buccal mucosa?
pink and glistening without lesions
15Is torus palatinus a normal or abnormal finding?
normal but you document it
16Torus palatinus
bony protrusion
midline
Asian/Native Americans
usually no treatment
17What are the levels of grading tonsils?
1+ Visible
2+ Halfway between tonsillar pillars and uvula
3+ Touching uvula
4+ Touching each other
18What are tonsillar stones?
hard white formations that are located on or within the tonsils
19Cranial Nerve IX
Glossopharyngeal
gag reflex
20Cranial Nerve X
Vagus
cough
21Cranial Nerve XII
Hypoglossal
stick tongue out