Nose, Mouth, Throat HA Exam #2

Discharge
Frequent Colds
Sinus Pain
Trauma
Epistaxis (Nose Bleeds)
Allergies
Alerted Smell

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

Sitting
Eye level
Penlight
Tongue blade/depressor

External Nose
Nostril patency--plug nostril and breathe in

spins air to warm up for lungs
inferior
middle
superior
note any septal deviation -> deep suction should be run down the side without deviation

frontal above the eyebrows
maxillary below the eyes
use firm pressure and thumbs

overt pain
tenderness
swelling (facial edema)

pharyngitis
gastroesophageal reflux disease
stroke
neuromuscular disease
esophageal cancer

dry mouth

nasal mucosa is swollen and bright red URI

buccal mucosa

buccal mucosa
lips
teeth
throat
tonsils
posterior pharyngeal wall

dentition

pink and glistening without lesions

normal but you document it

bony protrusion
midline
Asian/Native Americans
usually no treatment

1+ Visible
2+ Halfway between tonsillar pillars and uvula
3+ Touching uvula
4+ Touching each other

hard white formations that are located on or within the tonsils

Glossopharyngeal
gag reflex

Vagus
cough

Hypoglossal
stick tongue out