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Physical Diagnosis: ENT 1

Terms in this set (32)

What are 8 things that you need for an ENT physical examination?
Anatomy of the Ear: KNOW IT
Middle Ear: Be familiar with anatomy
Tympanic Membrane: Describe the Different parts you see
What do Q-tips do?
They just push the wax farther back
Describe the Ossicles of the Ear
How do sound waves travel?
External ear, middle ear bones, then through oval window
External Ear Inspection: Aurices (3), External Auditory Canal (2)... what are you looking for?
What are 3 ways you can describe the external ear attachment?
Why do you pull on the ear in a specific way when you're looking at adults vs kids?
Placement of austachain tube is different
How do you inspect an adults ears? (position of otoscope, pulling of ears)
Know this table
Describe a Pneumatic Otoscopy?
Normal vs Otitis Media Images
HEARING EVALUATION: what are 4 methods?
Weber Test: Describe
Rinne Test: Describe
Weber and Rinne: expected findings, conductive hearing loss, sensorial hearing loss ... describe
What questions would you ask if a patient has pain or drainage from ears? (4 and 4)
What questions to ask if ringing in ears or hearing loss? (4 and 5)
What question should you ask if a patient is having vertigo?
THE NOSE
...
Describe the external nose and internal nose anatomy
Which turbinates can you see in the nose?
There are three .. inferior, middle, and superior

YOU CANNOT SEE THE SUPERIOR ONE
Describe the sinuses in adults and children .. differences?
What are you looking for when you are viewing the external and internal nose (2 and 5)
...
Should you touch the nasal septum during examination?
NO!!!
If septum has holes in it ... what should you think?
Cocaine or drug use
When you look into a nose, what are two things you can observe, and what are some signs?
What is ANSOMNIA?
How do you check for maxillary and frontal sinuses?
Maxillary: on maxilla, pointing down into the mouth ... do it in DARK

Frontal: Put it in corner of the eye, and cup it and see if the light shines
How do you determine sinusitis?
If you shine through maxillary or frontal sinus, and one side is more dull than the other
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