1. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Assessment of the Nose, Mouth, and Throat Health Assessment Across the Lifespan NRS 102

2. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-2  Structure and Function  Subjective Data—Health History Questions  Objective Data—Physical Exam  Abnormal Findings

3. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-3 Structure and Function Nose  External nose  Nasal cavity  Septum  Turbinates © Pat Thomas, 2006.

4. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-4 Structure and Function (cont.) Paranasal sinuses  Frontal  Maxillary  Ethmoid  Sphenoid © Pat Thomas, 2006.

5. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-5 Structure and Function (cont.) Mouth  Hard and soft palates  Uvula  Tongue

6. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-6 Structure and Function (cont.) Salivary glands  Parotid  Submandibular  Sublingual  Teeth

7. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-7 Structure and Function (cont.) Throat  Oropharynx  Tonsils  Nasopharynx

8. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-8 Structure and Function (cont.) Developmental care  Infants and children  Salivation  Teeth  Nose  Pregnant female  Nasal stuffiness  Epistaxis  Hyperemic gums  Aging adult  Diminished smell and taste  Atrophic tissues  Dental changes

9. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-9 Structure and Function (cont.) Cross-cultural care  Cleft lip and palate  Torus palatinus  Leukoedema  Tooth loss

10. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-10 Subjective Data— Health History Questions Nose  Discharge  Frequent colds  Sinus pain  Trauma  Epistaxis  Allergies  Altered smell

11. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-11 Subjective Data— Health History Questions (cont.) Mouth and throat  Sores or lesions  Sore throat  Bleeding gums  Toothache  Hoarseness  Dysphagia  Altered taste  Smoking, alcohol consumption  Self-care behaviors

12. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-12 Subjective Data— Health History Questions (cont.) Additional history for infants and children  Mouth infection  Sore throat  Tooth eruption  Self-care Additional history for the aging adult  Mouth dryness  Tooth loss  Care of teeth, dentures  Taste, smell

13. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-13 Objective Data—Physical Exam Preparation  Positioning Equipment  Otoscope with short, wide-tipped nasal speculum attachment  Penlight  Two tongue blades  Cotton gauze pad (4 × 4 inches)  Gloves  Long-stem light attachment for otoscope (occasionally)

14. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-14 Objective Data—Physical Exam (cont.) Nose—Inspect and palpate  External nose  Nasal cavity  Holding the otoscope  Nasal septum  Turbinates

15. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-15 Objective Data—Physical Exam (cont.) Sinus Areas—Palpate  Frontal and maxillary sinuses  Transillumination

16. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-16 Objective Data—Physical Exam (cont.) Mouth—Inspect  Lips  Teeth and gums  Tongue  Buccal mucosa  Palate and uvula © Pat Thomas, 2006.

17. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-17 Objective Data—Physical Exam (cont.) Throat—Inspect  Tonsils grading  Use of tongue blade  Posterior pharyngeal wall

18. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-18 Objective Data—Physical Exam (cont.) Developmental Care  Infants and children  Nose  Mouth and throat  Pregnant female  Aging adult

19. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-19 Sample Charting

20. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-20 Sample Charting (cont.)

21. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-21 Sample Charting (cont.)

22. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-22 Abnormal Findings Abnormalities of the Nose  Acute rhinitis  Allergic rhinitis  Sinusitis  Nasal polyps  Carcinoma  Choanal atresia  Epistaxis  Foreign body  Perforated septum  Furuncle

23. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-23 Abnormal Findings (cont.) Abnormalities of the Lips  Cleft lip  Herpes simplex I  Angular cheilitis (stomatitis, perleche)  Carcinoma  Retention “cyst” (mucocele)

24. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-24 Abnormal Findings (cont.) Abnormalities of the Teeth and Gums  Baby bottle tooth decay  Malocclusion  Dental caries  Epulis  Gingival hyperplasia  Gingivitis

25. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-25 Abnormal Findings (cont.) Abnormalities of the Buccal Mucosa  Aphthous ulcers  Koplik’s spots  Leukoplakia  Candidiasis or monilial infection

26. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-26 Abnormal Findings (cont.) Abnormalities of the Tongue  Ankyloglossia  Fissured or scrotal tongue  Geographic tongue (migratory glossitis)  Smooth, glossy tongue (atrophic glossitis)  Black hairy tongue  Enlarged tongue (macroglossia)  Carcinoma

27. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Nose, Mouth, and Throat Chapter 16: Nose, Mouth, and Throat Slide 16-27 Abnormal Findings (cont.) Abnormalities of the Oropharynx  Cleft palate  Bifid uvula  Oral Kaposi’s sarcoma  Acute tonsillitis and pharyngitis