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Physical Diagnosis Scalp, 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.

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Physical Diagnosis Scalp, Ears,Nose, Sinuses

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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


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