Ears, Nose, Mouth, Throat. Ears. Summary of any symptom should include PQRSTU. P= provocative or palliative Q= quality or quantity R= region or radiation S= severity scale T= timing (onset, duration, frequency) U= understand client’s perception. Anatomy.
The ear is responsible for hearing and balance
Consists of 3 regions
movable cartilage and skin
Mastoid process= important Landmark
2 types of cerumen
Whites and blacks – wet, sticky, and honey colored
Asians and Native Americans – dry and flaky
Lubricates & protects
Moves to meatus with chewing & talking
Outer 1/3 of canal is cartilage, inner 2/3 consists of bone covered with skin
If sound lateralizes to one ear it indicates conductive or sensorineural loss.
Sound is heard longer by BC with a conductive loss.
Weber test hair follicle
Foreign Body hair follicle
Sinus openings are narrow = susceptible to occlusion resulting in inflammation/sinusitis
Frontal & Maxillary sinuses are accessible to examination
Posterior pharyngeal wall located behind the tonsils hair follicle
Nasopharynx continues from the oropharynx but it is above it and behind the nasal cavity. It holds the adenoids and the eustachian tube openings.
Use gloves, tongue depressor, light