This document discusses the process for examining the ears, nose, and throat. It includes inspection, palpation, and use of instruments like an otoscope. For the ears, it examines the ear canal, eardrum, and performs hearing tests like Weber's test and Rinne test. For the nose, it inspects size, shape and examines inside. For the throat, it inspects the tonsils, soft palate and thyroid gland. Abnormal findings for each area are also outlined.

1. PRESENTED BY.,
K.DEVI
PBBSC(N) II YEAR
VEE CARE COLLEGE OF NURSING

2.  HISTORY COLLECTION
 PHYSICAL EXAMINATION INCLUDES
 INSPECTION
 PALPATION
 AUSCULTATION
 USE OF OTOSCOPE
 ADMINISTRATION OF HEARING ACUITY TESTS

3. 1. PREVIOUS INJURY
2. MEDICAL HISTORY
3. BLEEDING DISORDER
4. FAMILY HISTORY
USE OF DRUGS OR ALCOHOL

4. 1. POSITION
2. SYMMETRY
3. AURICLE FOR LESIONS
4. DRINAGE
5. NODULES
6. TENDERNESS
7. ULCERATED LESIONS

5. 1. MASTOID AREA BEHIND EACH AURICLE
2. ASSESS FOR TENDERNESS
3. WARMTH OR REDNESS

6. ABNORMAL FINDINGS
 LOWSET EARS
 EAR DISCHARGE
 REDNESS OR ODOR
 SWOLLEN
 CHRONIC OTITIS MEDIA EAR CANAL USUALLY
THICKENED AND ITCHY

7. 1. AUDITORY CANAL
2. TYMPANIC MEMBRANE
3. MALLEUS
4. COLOUR OF THE CERUMEN
5. SPECULUM – EAR DISCHARGE

8. 1. HEARING ACUITY TEST
2. WEBER’S TEST
3. RINNE TEST

9. WEBER’S TEST
1. USING TUNING FORK – (BONE CONDUCTION)
ABNORMAL FINDINGS
1. SENSORINURAL HEARING LOSS
2. SOUND IS PRESENT – UNAFFECTED EAR

11. 1. USING TUNING FORK INSTRUMENT
2. TONE SOUND
3. TO CHECK TONE STOPS – NOTE TIME IN SECONDS

13. 1. ABNORMAL WEBER’S TEST RESULTS
2. NEGATIVE RINNE TEST RESULTS
3. IMPROVED HEARING AND NOISY AREAS
4. A QUIET SPEAKING VOICE
5. DIFFICULTY HEARING WHEN CHEWING

14. 1. POSITIVE RINNE TEST.
2. POOR HEARING IN NOISY AREAS.
3. DIFFICULTY HEARING HIGH-FREQUENCY SOUNDS.
4. COMPLAINTS THAT PEOPLE MUMBLE OR SHOUT.
5. TINNITUS.

15. 1. INSPECTION
2. PALPATION
INSPECTION
1. POSITION, SIZE AND SHAPE
2. SYMMETRY
3. COLOUR
4. CYANOSIS
5. NOSTRILS

16. PALPATION
1. DISCOLORATION
2. TENDERNESS
3. SWELLING
4. DEFORMITY
5. NASAL DISCHARGE

17. ABNORMAL FINDINGS
1. OBSTRUCTION OF THE NASAL MUCOUS
MEMBRANE
2. DEVIATED SEPTUM
3. TRAUMA – SKULL FRACTURE
4. EPISTAXIS
5. SINUSITIS, ALLERGIES

18. 1. INSPECTION
2. PALPATION

19.  TONSLS – PINK
 OBSERVE FOR MOVEMENT OF THE SOFT PALATE
AND UVULA

20. 1. NOTE LUMPS
2. THYROID GLAND

21. ABNORMAL FINDINGS
1. LARYNGITIS
2. ACUTE TONSILLITIS