We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byKiley Swingle
Modified over 2 years ago
Clinical Examination of the Ear, Nose and Throat Dave Pothier St Mary’s 2003
Important things to remember ABC is ALWAYS necessary See patient as a whole Look at patient from the time they enter the room Systemic problems give valuable clues Look for health ‘props’
Practice is vital ENT examination/equipment is not intuitive
Be familiar with gear
Position Good light Headlight / reflected light from headmirror Side on to patient Inspect, Palpate, Use otoscope NB look behind ear
Palpate Feel pinna Feel lymph nodes Palpate neck
Canal Inspect pinna and concha Otoscopic examination Pull upwards, outwards and backwards Look for cavity, Otitis externa Osteomas Mastoid cavity
TM Assess all quadrants Look for malleus, incus Record abnormalities
Pars flaccida Long process incus Handle of malleus Umbo Pars tensa Canal wall
Perforations Central perforation Marginal perforation
Don’t forget Tuning fork tests Simple free field tests Look at audiological investigations
Inspection Good light Look at skin and scars Assess shape Look at vestibules by lifting tip
Palpation/inspection Occlude each nostril in turn and assess air entry Look at misting of tongue depressor
Anterior rhinoscopy Use thuddicums speculum hold it properly!
Nasendoscopy Rigid Flexible
Don’t forget Also examine neck and oral cavity Check postnasal space Ear disease may suggest pathology
What does this area consist of? Mouth? Pharynx? Larynx? Trachea? Oesophagus? Neck? Best to view as much as possible
Oral cavity Open wide! Two tongue depressors Examine every mucosal surface Protrude tongue Look at salivary orifices Bimanual palpation Percuss teeth
Larynx Indirect / direct laryngoscopy To be learned in OPD
View of larynx Tongue base Vallecula Epiglottis False cord Vocal cord Piriform fossa Arytenoid cartilage
Neck Inspect Palpate Auscultate
Inspection Scars Lumps Sinuses Asymmetry Stoma Ask patient to swallow and protrude tongue Ask patient to breathe deeply Ask patient to count to ten
Palpation Adequate exposure Systematic Develop system From in front then mainly from behind Submandibular area, both triangles Supraclavicular area
Auscultation Listen for bruit Thyroid and carotid
Summary See patient as a whole – don’t focus in on one part of the body too soon Be systematic Adequate exposure Be familiar with toys Suggest further assessments
Examination of the Ears, Nose, Throat, and Neck Premed H& P.
Examination of the Ears, Nose, Throat, and Neck Dr Stephen O'Hanlon MA(Oxon) MBBChir(Cantab) MRCS DOHNS MSc.
DR. SAAD Y. SULAIMAN NINEVAH COLLEGE OF MEDICINE.
Basic Physical Examination in ENT – Head and Neck Department of Otolaryngology – Head and Neck Surgery St. Luke’s Medical Center.
Head & Neck Examination of A SURGICAL PATIENT FAHAD BAMEHRIZ MD ASS. Professor & Consultant Surgeon College of Medicine, KSU.
Pathway of Air to Lungs. Nose Air goes into the body through the mouth or nose and down the pharynx, or throat.
Use of the Otoscope in Athletic Training. Objectives Briefly discuss the types and features of the otoscope Provide an overview of otoscopic assessment.
ENT Clinical methods ICM - 1. LEARNING OBJECTIVES To : Gain understanding of basic components of the ear, nose and throat examination. Learn about the.
Examination of Ear, Nose, Head, Neck and Throat Dr.Vijay M.D.
Assessment of Head, Neck, Nose, Throat NUR123 Spring 2009 K. Burger, MSEd, MSN, RN, CNE PPP by: Victoria Siegel RN, CNS, MSN Sharon Niggemeier RN, MSN.
HEAD TO TOE ASSESSMENT SUMMARY A head-to-toe assessment should be done each time you encounter a patient for the first time each shift (or visit, for home.
RESPIRATORY ORGANS It includes: It includes: Nose. Nose. Pharynx. Pharynx. Larynx. Larynx. Trachea. Trachea. Bronchi and bronchioles. Bronchi and bronchioles.
Head and Neck, Eyes, Ears, Nose, & Throat. Head & Neck Review Anatomy of head History –Headache –Head Injury –Dizziness –Neck pain –Lumps, swelling –Surgery.
Step by Step guide to performing an Ear Exam. Tool: Otoscope Head Tail Speculum Light Magnifying Lens.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 3 Techniques of Physical Examination and Equipment.
UPPER. Functions of the Respiratory System 1. Gas exchanges between the blood and external environment – Occurs specifically in the alveoli of the lungs.
Louise Fincher, EdD, ATC, LAT Associate Professor/Program Director The University of Texas at Arlington Use of the Otoscope in Athletic Training.
Physical examination 1.Inspection 2.Palpation 3.Percussion 4.Auscultation.
Dr. ZAID AL-DAHWI Consultant ENT Head of ENT department KING SAUD MEDICAL CITY Dr. ZAID AL-DAHWI Consultant ENT Head of ENT department KING SAUD MEDICAL.
Neck Assessment Heather Nelson, RN. Neck Inspect for symmetry, masses, scars, gland or lymph node enlargement. Inspect for symmetry, masses, scars, gland.
Chapter 22 Respiratory System. Function of the Respiratory System Supply the body with oxygen and dispose of carbon dioxide.
Chapter 22: Respiratory System Parts of the Respiratory System Part 1.
Chapter 6: Head and Neck. Common or Concerning Symptoms HeadHeadache, history of head injury EyesVisual disturbances, spots (scotomas), flashing lights,
Oral and neck examination for the early detection of oral (mouth) cancer – a practical guide.
Nose 43. Otoscope used with nasal speculum to inspect nasal vault or may use otoscope ear speculum 44. Nasal speculum examination done without causing.
Dr. Hassan Shaibah و ما أوتيتم من العلم إلا قليلا.
LYMPHATIC SYSTEM OF THE HEAD AND NECK. LYMPHATIC SYSTEM: includes lymph nodes and lymph vessels.
PHYSICAL EXAMS TYPES, TECHNIQUES, EQUIPMENT, AND POSITIONS.
CERVICAL METASTASES CERVICAL METASTASES Assessment of a neck mass Assessment of a neck mass M. Hosseini M.D. M. Hosseini M.D. Head & Neck Surgeon Head.
The respiratory system. Respiration: The exchange of gases between an organism and its environment The process has two phase: - Organismic respiration.
Ear Examination Heather Nelson, RN. Ears Inspect auricles for size, shape, symmetry, landmarks, color, and position on head. Inspect external auditory.
Neck Inspection of: Carotid arteries Thyroid Lymph nodes.
Chapter 3 of Speech and Hearing. Overview Anatomy of Speech Production Respiratory Laryngeal Articulatory/Resonating.
Mouth Inspection of the MOUTH 1. Should use light source for inspection 2. Inspect lips, gums, buccal mucosa, teeth 3. Inspect tongue, posterior pharynx.
The Respiratory System Chapter 15. Function Brings oxygen into the body so it can be transported to body cells by the blood stream Also removes carbon.
© Dr. Srinivasan 2013 To describe the parts of the external, middle and internal ear and its contents. To understand the role of tympanic membrane,
Physical Diagnosis Scalp, Ears, Nose and Sinuses.
Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Assessment Techniques and the Clinical Setting.
Faculty of Nursing-IUG Chapter (8) Head Assessment, face and neck.
Lymphatic drainage of the head and neck Tissue fluid is produced in excess by the arterial ends of the circulatory system The excess fluid, proteins, large.
Eye and ENT Examination. Ear, Nose, and Throat Anatomy.
Diagnostic Procedures & Pharmacology Chapter 15. Basic exam procedures are performed during the assessment of the patients. Condition. As used in medicine,
© 2012 Pearson Education, Inc. Pharynx Epiglottis Larynx Trachea Esophagus Sphenoid sinus Frontal sinus Nasal cavity Palate.
In The Name of God. Examination Techniques Basic Technique Visual Inspection Diascopy Palpation Probing Percussion Auscultation Aspiration Evaluation.
Head & Neck (Mouth, Pharynx,Thyroid,L.N.,Neck). Mouth & Pharynx anatomy.
The Respiratory System Organs of the Respiratory system Nose Pharynx Larynx Trachea Bronchi Lungs – alveoli Figure 13.1.
Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Respiratory System.
RESPIRATORY SYSTEM Human physiology. Your cells need food (digestive system) and oxygen Respiration is the process that gets oxygen to the cells and.
Surface Anatomy Head & Neck. Surface Anatomy A branch of gross anatomy Essential in identifying structures prior to studying internal gross anatomy.
Mostafa El-Haddad MD., FRCR., HMD. Tips and Tricks ™ By.
© 2017 SlidePlayer.com Inc. All rights reserved.