Case No:

Date:1GlLu2o3
Name: Sabuath Sex: female
Age: 4 ycans
Occupation : Foeme Reg. No :
Address: Roichs

Eamnalton
Date of Admission : Date of Discharge: r62023
Chief Complaints : Podieut Comelod nto f nasal olst uelian siee 3 mord.
fatiut Cewplaiud nsal dinclage
3 matl lek aud (amplelat
Portien uas uppardty namal edusly
Houtol pet
meslleatte unttatead nesal d chye

(owyelatno

Past History : No allau cemplanta

No Hlo preuioa SNT Suge eypeudjen. Tubeulo
No Hlo Dlaltes mellhus.
Family History :
Nat algdfeunl
 Nmal
SigCerebella
ns c)
Nema
Nerve Cranial b)
functions Higher a)
co-epabine Cansciou, dlesut, System: Nervous Central M)
egangga Nankndu
o, Sati
No Examination: Abdominal Per i)
he sou latt ealeulu Newad System: Respiratory i)
miwss o od S,S System:
Cardiovascular )
EXAMINATION: SYSTEMIC
rate:
Respiratory Pressure: Blood
Afelwils Temperature:
2bpm Pulse:
EXAMINATION : PHYSICAL GENERAL
NOne Habits:
Bowel/Bladder: hubed Sleep:
Good Appetite: Aloed Diet:
History: Personal
 Neial examination Nerve Facial
testFistula
Asent Nystagmus
4lsent tenderness Mastoid
Net
mucosa ear Middle
Absent Perforation 6)
Mobility 5)
Sen Sen Malleus Handleof 4)
Light Coneof 3)
Tensa Pars 2)
Nesmal Flacida Pars 1)
membrane Tympanic
LT
No canalauditory External
Nemu Nel Tragus
Nemal Pinna
Nema regionauricular Post
Nosmol region auricular Pre
Left Right Ear:
Examination
of a)
Examination: Local
 b) Weber's
test Rinne'
Tests
4. Cavity Floor Roof Turbinates Absolute Tuninftoegrstk
Meati Septum Rhinoscopy
Anterior 3.Examination
External
shape:
2. 1.
Posterior Vestibule 1024Hz 512Hz 256Hz
bone
Rhinoscopy: & conduction
Columella
of
seen
Nwt Seen
Neet Nose:
test
Poi
Nem Noaunal on
AC
Bc
PoscHnt
in Right

eScaln

daseut heasl
Poslti Left

fan
touch
becdan
pto sawns
ouel
vealibule
tan
pharyngeal
Posterior
walPosterior
l pillar Tonsils
Anterior OROPHARYNX:
pillar palate
Soft Uvula c) 6.
mouth
Floorof
Palate mUCOsa
Buccal Teeth Gums 5.
Vestibule Cavity
Oral : d. C.
Retomolartigone Tongue LipsExamination
.
b Functional
Maxilla
C b. Frontala.Paranasal
Sense Spatula wool
test Cottle's
test Cotton test Ethmoid
Ant
2/3- of Examination
Smell Sinus
Nomal Neol of
seen
Net Alemal N Namal
Oral Examination
Nonal
Nemal papt adeat
opu'
Meutadl.
CeuteNemas,
he Cavity
lae eupouemenl NoNose of
Deewased Oecosed
/Throat: Deeseuseel
prese
Tendnss
Teusluns
No
inlwmeiau Right

batholes
lunathing
tenen No tds No
n Left
 DIFFERENTIAL
DIAGNOSIS: PROVISIONAL
DIAGNOSIS: Cricoid
region
EXAMINATION PostPyriform Vocal
fossa Cords Cords
False
Vocal
True Areytenoids
AreyepiglotticEpiglottis
fold Vallecula
Pharyngoepiglottic
glossoepiglottic
foldMedianPosterior
foldTongue/3
LARYNGOSCOPY:
INDIRECT

OF
elhona
pafloma
Lnuentd No
neele NECK:
neretodeais heiis
No

ethmatdal
polyes
sided
poyp. ln
ehe
le