2. ENT History Taking
Introduction:
1. History taking in ENT speciality is no different then other speciality of
medicine except we emphasize more on local examination of ear, nose
throat larynx and neck rather then the systemic and general examination
but we go for these examination if needed, or patient is going for any
surgical intervention then systemic and general examination is done
2. History taking is the integerral part of job for the student and doctors to
reach the diagnosis.
3. For the management of patient there are four integral parts to reach the
diagnosis. a- history
b- Clinical Examination
c- Investigations
d- Treatment
3. History Protocol
Biodata.
a. Name
b. Age
c. Sex
d. Address
Presenting complaint.
On chronological order
a. Ear discharge 5 year
b. Deafness 4 year
History of Presenting illness.
In history of presenting illness we discuss in detail individual symptoms of the
patients, regarding on set, duration, amount, consistency, frequency,
association, progression, deafness and so on, other symptoms also needed to
address and exclude and the treatment taken. and past, personal history drug
history family history any history of allergy and past medical illness in the
family of the patients should be discuss in detail.
4. General and systemic examination
if needed
Local examination:
It is mandatary for all ENT patients
Ear Examination
INSPECTION
* Part around the article
* Auricle
* External auditory meatus
* External auditory canal
* Tympanic membrane
PALPATION
* Tragus
* Pinna
* Mastoid
INSTRUMENTATION
* Examination of auditory canal
* Examination of tympanic
membrane
1. Intact/Peforated
2. Land marks
3. Mobility
4. Morbilaty
HEARING TEST
* Voice tests
* Tuning fork tests
BALANCE TEST
* Gait tests
* Romberg's tests
EXAMINATION OF FACIAL
NERVE
PREPARED BY:
DR. SHAHEEN MALIK
PROFEESOR
DEPARTMENT OF ENT
BAQAI MEDICAL UNIVERSITY
