Physical Diagnosis Scalp Ears Nose Sinuses Describe Scalp
Physical Diagnosis Scalp, Ears, Nose, Sinuses
Describe Scalp. Diagnosis?
Psoriasis
Normal TM • Malleus (short process and handle • Cone of light • Incus • Pars tensa • The unbelievable UMBO
Otitis Media • • Red, Bulging Hyperemia Dullness of light reflex Opaque
Describe
Serous OM • Bulging, amber drum • Decreased mobility
Describe
Cerumen in canal • May advise parents to soften first • May remove yourself in office • At the VA: May remove a lot of ear wax in the ER
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 • Sometimes placed in children with series of ear infections • Major goal: preventing conductive hearing loss may 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
Looking at the turbinates: Diagnosis?
Nasal Polyp
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