ENT History and Examination PDF

ENT HISTORY AND EXAMINATION WHY ENT Most outpatient patients attendance. AIRWAY disorder are emergencies Neck disorder can impair airway and circulation thus emergencies. HISTORY BIODATA Name: identification, rapport, recording, courtesy Age: Allergic conditions: middle age...

ENT HISTORY AND EXAMINATION WHY ENT Most outpatient patients attendance. AIRWAY disorder are emergencies Neck disorder can impair airway and circulation thus emergencies. HISTORY BIODATA Name: identification, rapport, recording, courtesy Age: Allergic conditions: middle age Adenoid : Children. Malignancy: old age Presbyacusis: old age Sex: Juvenile angiofibroma: Males Otosclerosis: Females. Ca: More in males. Plummer vinson: females Biodata Occupation: Nodules: Hawkers, screamers, pastors, high tone singers. Hearing loss: Noise induced. Barotrauma: divers and pilots. Laryngocele: Trumpet blowers. PAST HISTORY Chronic illnesses that reduce immunity Drug uses: ototoxic drugs, abuse (septal perforation) Neonatal history: Head injury: CSF rhinorrhea, facial nerve palsy, hearing loss. Personal social history Smoking and alcohol: Malignancy, Peptic ulcer disease. Genetic disorders: Alport syndrome, otosclerosis. Sexual patterns: HPV and oropharyngeal cancer.  NASAL HISTORY: Common complains FACIAL ASYMETRY Onset: birth: trauma or congenital, Head injury: Temporal fracture, Vesicles in pinna: Ramsay hunt syndrome Ear discharge: Compression Deafness: Acoustic neuroma. No other symptoms: Bell’s palsy Other CNS symptoms: CNS lesion. EXAMINATION OF THE EAR PINNA: Size: micro or anotia Shape: Bat ear/cauliflower between mandible and EAC: Tags Site Low set: treacher Collins. Tenderness: AOE Vesicles Ramsay hunt syndrome Preauricular Pit Sinus: discharging fluid Cyst: With fluid EXAMINATION OF THE EAR Post auricular Scar: previous surgery Edema: Griesinger sign Bruise Battle sign mastoid: tender or swollen in mastoids. Lost sulcus: Furunculosis Protrusion of pinna: Mastoid abscess. EAR EXAMINATION EAR EXAMINATION EAR EXAMINATION EAR EXAMINATION EAR EXAMINATION EAR EXAMINATION EAR EXAMINATION EAR EXAMINATION EXAMINATION OF THE EAR EAC Discharge foreign body Swelling Mass EXAMINATION OF THE EAR EXAMINATION OF THE EAR EXAMINATION OF EAR TYMPANIC MEMBRANE Perforation. Inflammation Cone of light handle of malleus Retracted Fluid EAR EXAMINATION EAR EXAMINATION EAR EXAMINATION TUNING FORKS TUNING FORK TESTS WEBER RINNE MEANING CENTRAL AC>BC bilaterally To right BC>AC (R) AC>BC (L) To Left AC>BC bilaterally To left AC>BC (Lt) BC>AC Rt EXAMINATION OF EAR FACIAL NERVE