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