Physical DiagnosisScalp, Ears,Nose, Sinuses

Describe Scalp. Diagnosis?

Psoriasis

Normal TM

• Malleus (short process and handle

• Cone of light• Incus• Pars tensa• The unbelievable

UMBO

Otitis Media

• Red, Bulging• Hyperemia• Dullness of light

reflex• Opaque

Describe

Serous OM

• Bulging, amber drum• Decreased mobility

Describe

Cerumen in canal• May advise parents to

soften first• May remove yourself

in office• At the VA: May

remove a lot of ear wax in the ER

Bullous Myringitis

• Large vesicles/bullae visible on the drum

• Landmarks obscured• Drum is reddened• Viral infection

characterized by painful hemorrhage

Traumatic Perforation

• Usually result from purulent infection of the middle ear

• Central perforation or marginal

Tympanostomy Tube

• Sometimes placed in children with series of ear infections

• Major goal: preventing conductive hearing loss may prevent delayed language development

• “Mom, the TV is so loud!”

Nose and Sinuses

Sinus Anatomy: Front View

•frontal sinus=black check

•maxillary sinus=red,

•anterior ethmoid sinuses=green

•posterior ethmoid sinuses= purple,

•sphenoid sinus=yellow

Sinus Anatomy: Side View

• frontal sinus=black check

• maxillary sinus=red, • anterior ethmoid

sinuses=green• posterior ethmoid

sinuses= purple,

• sphenoid sinus=yellow

Looking at the turbinates: Diagnosis?

Nasal Polyp