Physical Diagnosis Scalp, Ears,Nose, Sinuses. Describe Scalp. Diagnosis?

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Presentation transcript:

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