Physical Diagnosis Scalp Ears Nose and Sinuses Describe

Physical Diagnosis Scalp, Ears, Nose and Sinuses

Describe the patient’s scalp. Diagnosis?

Psoriasis

Describe findings.

Normal TM • Malleus • • (short process & handle) Cone of light Incus Pars tensa The unbelievable UMBO

Describe findings.

Otitis Media • Red and bulging • Hyperemia • Dullness of light reflex • Opaque

Describe findings.

Serous OM • Bulging, amber drum • Decreased mobility

Describe findings.

Cerumen in Canal • Parents may be advised to soften first • May remove yourself in physician’s office • VA patients: May remove a lot of ear wax in the ER

Describe findings.

Bullous Myringitis • Large vesicles/bullae • • • visible on the drum Landmarks obscured Drum is reddened Viral infection characterized by painful hemorrhage

Traumatic Perforation • Usually result from purulent infection of the middle ear • Central perforation or marginal

Tympanostomy Tube • May be placed in children with a series of ear infections • The major goal is to prevent conductive hearing loss to prevent delayed language development • “Mom, the TV is so loud!”

Nose and Sinuses

Sinus Anatomy: Front View • Frontal sinus = black • • check Maxillary sinus=red Anterior ethmoid sinuses = green Posterior ethmoid sinuses = purple Sphenoid sinus = yellow

Sinus Anatomy: Side View • Frontal sinus = black • • check Maxillary sinus = red Anterior ethmoid sinuses = green Posterior ethmoid sinuses = purple Sphenoid sinus = yellow

Observe the turbinates. Diagnosis?

Nasal Polyp