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Physical Diagnosis Scalp, Ears, Nose and Sinuses

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

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Physical Diagnosis Scalp, Ears, Nose and Sinuses

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  1. Physical DiagnosisScalp, Ears, Nose and Sinuses

  2. Describe the patient’s scalp. Diagnosis?

  3. Psoriasis

  4. Describe findings.

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

  6. Describe findings.

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

  8. Describe findings.

  9. Serous OM • Bulging, amber drum • Decreased mobility

  10. Describe findings.

  11. 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

  12. Describe findings.

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

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

  15. 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!”

  16. Nose and Sinuses

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

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

  19. Observe the turbinates.Diagnosis?

  20. Nasal Polyp

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