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  • Nose and Sinuses

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    Hannah Tuason
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    This document provides information on assessing the nose and sinuses through physical examination. It describes inspecting the nose and sinuses visually for abnormalities, palpating the sinuses and nose to check for tenderness, percussing the sinuses by lightly tapping to evaluate for pain or fullness, and testing nasal patency by having the patient breathe through each nostril to check for obstructions. The procedures are described and normal findings are provided as well as potential abnormalities that may indicate infections, obstructions, or other issues.

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    Nose and Sinuses (2)

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    This document provides information on assessing the nose and sinuses through physical examination. It describes inspecting the nose and sinuses visually for abnormalities, palpating the sinuses and nose to check for tenderness, percussing the sinuses by lightly tapping to evaluate for pain or fullness, and testing nasal patency by having the patient breathe through each nostril to check for obstructions. The procedures are described and normal findings are provided as well as potential abnormalities that may indicate infections, obstructions, or other issues.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views16 pages

    Nose and Sinuses

    Uploaded by

    Hannah Tuason
    This document provides information on assessing the nose and sinuses through physical examination. It describes inspecting the nose and sinuses visually for abnormalities, palpating the sinuses and nose to check for tenderness, percussing the sinuses by lightly tapping to evaluate for pain or fullness, and testing nasal patency by having the patient breathe through each nostril to check for obstructions. The procedures are described and normal findings are provided as well as potential abnormalities that may indicate infections, obstructions, or other issues.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 16

    NOSE

    AND
    SINUSES
    ANATOMY & PHYSIOLOGY
    OF PARANASAL
    SINUSES
    SUBJECTIVE ASSESSMENT OF
    NOSE & SINUSES
    Do you have nasal discharge?
    • How often?
    • Is it continuous or only on occasion?
    • Describe the discharge.

    Do you experience nose bleed?


    • How often?
    • What is your normal blood pressure reading?
    • Do you use any kind of nasal spray?
    • How do you treat your nosebleeds?
    PHYSICAL
    ASSESSMENT
    FOR NOSE
    EQUIPMENT:

    • Nonlatex gloves
    • Nasal Speculum
    • Penlight
    • Otoscope
    (with wide-tipped speculum attached)
    ASSESSMENT PROCEDURE:
    • Inspect the external nose.
    • Examine and palpate the external nose. Take
    note of the nasal color, shape, consistency,
    and tenderness.
    • Examine the flow of air through the nostrils.
    • Inspect the internal of the nose. Use an
    otoscope to examine the inside of the nose.
    PHYSICAL
    ASSESSMENT
    FOR SINUSES
    ASSESSMENT PROCEDURE:
    PALPATION
    • Palpate the sinuses.
    • Palpate the maxillary sinuses.
    PERCUSSION
    • Percuss the sinuses.
    TRANSILLUMINATION
    • Transilluminate the sinuses.
    • Transilluminate the maxillary sinuses.
    NORMAL AND ABNORMALITIES OF NOSE AND
    SINUSES
    PROCEDURE NORMAL ABNORMALITIES
    Inspect the nose for size, Confirm that the nose is  
    symmetry, shape, skin straight, in proportion to the If breathing is noisy or a
    lesions, or signs of other facial structures, midline, discharge is present, the
    infection in frontal and without deformities, the nares patient may have an
    lateral views. are equal in size, the skin is obstruction or an infection.
    intact, and no drainage or
    inflammation is present.

         
    Percuss the sinuses. Lightly The sinuses are not The frontal and maxillary
    tap (percuss) over the frontal tender on percussion. sinuses are tender upon
    sinuses and over the maxillary percussion in clients with
    sinuses for tenderness. allergies or sinus
    infection.

      Press your finger on the  


      patient's nostril to occlude If the patient cannot breathe
    Test for patency one naris, and ask the through each naris, severe
    patient to breathe inflammation or an obstruction
    through the opposite side may be present.
    with the mouth closed.
         
    The patient should be Ineffective breathing
    able to breathe patterns or mouth
    through each naris. breathing may be
    related to nasal
    swelling or trauma.

      To determine if there is  
      pain in the sinuses,  
      directly percuss over Pain may indicate sinus
    Percuss the sinuses. the maxillary and fullness, allergies, or
    frontal sinuses by infection.
    lightly tapping with
    one finger.

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