Ent examinaton

EAR, NOSE & THROAT EXAMINATION

PRESENTED BY.,

K.DEVI PBBSC(N) II YEAR

VEE CARE COLLEGE OF NURSING

PHYSICAL ASSEMENT HISTORY COLLECTION

PHYSICAL EXAMINATION INCLUDES

INSPECTION

PALPATION

AUSCULTATION

USE OF OTOSCOPE

ADMINISTRATION OF HEARING ACUITY TESTS

HISTORY COLLECTION1. PREVIOUS INJURY

2. MEDICAL HISTORY

3. BLEEDING DISORDER

4. FAMILY HISTORY

USE OF DRUGS OR ALCOHOL

INSPECTION 1. POSITION

2. SYMMETRY

3. AURICLE FOR LESIONS

4. DRINAGE

5. NODULES

6. TENDERNESS

7. ULCERATED LESIONS

PALPATION

1. MASTOID AREA BEHIND EACH AURICLE

2. ASSESS FOR TENDERNESS

3. WARMTH OR REDNESS

ABNORMAL FINDINGS

LOW SET EARS

EAR DISCHARGE

REDNESS OR ODOR

SWOLLEN

CHRONIC OTITIS MEDIA EAR CANAL

USUALLY THICKENED AND ITCHY

OTOSCOPIC EXAMINATION1. AUDITORY CANAL

2. TYMPANIC MEMBRANE

3. MALLEUS

4. COLOUR OF THE CERUMEN

5. SPECULUM – EAR DISCHARGE

EAR ASSESSMENT TEST

1. HEARING ACUITY TEST

2. WEBER’S TEST

3. RINNE TEST

WEBER’S TEST

1. USING TUNING FORK – (BONE CONDUCTION)

ABNORMAL FINDINGS

2. SENSORINURAL HEARING LOSS

3. SOUND IS PRESENT – UNAFFECTED EAR

WEBER’S TEST

RINNE TEST1. USING TUNING FORK INSTRUMENT

2. TONE SOUND

3. TO CHECK TONE STOPS – NOTE TIME IN

SECONDS

RINNE TEST

CONDUCTIVE HEARING LOSS PRODUCE

1. ABNORMAL WEBER’S TEST RESULTS

2. NEGATIVE RINNE TEST RESULTS

3. IMPROVED HEARING AND NOISY AREAS

4. A QUIET SPEAKING VOICE

5. DIFFICULTY HEARING WHEN CHEWING

SENSONEURAL HEARING LESS PRODUCES

1. POSITIVE RINNE TEST.

2. POOR HEARING IN NOISY AREAS.

3. DIFFICULTY HEARING HIGH-FREQUENCY

SOUNDS.

4. COMPLAINTS THAT PEOPLE MUMBLE OR SHOUT.

5. TINNITUS.

NOSE EXAMINATION1. INSPECTION

2. PALPATION

INSPECTION

3. POSITION, SIZE AND SHAPE

4. SYMMETRY

5. COLOUR

6. CYANOSIS

7. NOSTRILS

PALPATION

1. DISCOLORATION

2. TENDERNESS

3. SWELLING

4. DEFORMITY

5. NASAL DISCHARGE

ABNORMAL FINDINGS

1. OBSTRUCTION OF THE NASAL MUCOUS

MEMBRANE

2. DEVIATED SEPTUM

3. TRAUMA – SKULL FRACTURE

4. EPISTAXIS

5. SINUSITIS, ALLERGIES

THROAT EXAMINATION1. INSPECTION

2. PALPATION

INSPECTION

TONSLS – PINK

OBSERVE FOR MOVEMENT OF THE SOFT

PALATE AND UVULA

PALPATION1. NOTE LUMPS

2. THYROID GLAND

ABNORMAL FINDINGS

1. LARYNGITIS

2. ACUTE TONSILLITIS