2 examination of nose and pns

nose examination
paranasal sinus eamination
ent
3rd year
mbbs
antroscopy
cheif complaints

1. EXAMINATION OF NOSE AND PNS Sravani kommuru 6 th sem Rims srikakulam

2. EXAMINATION OF NOSE - SYMPTOMATOLOGY Nasal obstruction Nasal discharge Post-nasal drip Sneezing Epistaxis Headache or facial pain Disturbances of smell Nasal twang of voice Onset,duration,progression,severity

3. EXAMINATION OF NOSE Examination of External Nose: inspection and palpation. Skin : inflammation scar sinus swelling new growth Osteo cartilaginous framework : deformity

4. Examination of External Nose: inspection

5. Examination of External Nose: inspection [cont’]

6. EXAMINATION OF NOSE-vestibule Furuncle Fissure Crusting Caudal dislocation Tumor

7. EXAMINATION OF NOSE-vestibule

8. EXAMINATION OF NOSE Anterior rhinoscopy Technique Look for a) Nasal passage-Narrow Roomy b)Nasal septum-Deviation spur ulcer perforation swelling growth

9. Anterior rhinoscopy

10. Anterior rhinoscopy-contd … c) floor of the nose- defects swelling discharge d) roof e) lateral wall – Color of the mucosa - congested/pale Size of the turbinates - hypertrophy/atrophy Discharge Mass ------ probe test

11. INFERIOR TURBINATE

12. MPD IN MIDDLE MEATUS ANT RHINOSCOPY DNE

13. NASAL POLYP ANT RHINOSCOPY DNE

14. Posterior rhinoscopy Posterior rhinoscopy : technique Structures seen on posterior rhinoscopy

15. FUNCTIONAL EXAMINATION OF NOSE PATENCY OF NOSE : spatula test cotton-wool test SENSE OF SMELL : done with clove oil, peppermint, coffee and essence of rose.

16. cottle ’ s test

17. EXAMINATION OF PNS Examination of maxillary sinus : inspection, palpation,transillumination Examination of frontal sinus : External examination, anterior rhinoscopy transillumination Examination of ethmoidal sinus : External examination, anterior rhinoscopy Examination of sphenoid sinus : Anterior rhinoscopy , posterior rhinoscopy

18. maxillary sinus tenderness

19. frontal sinus , ethmoidal sinus tenderness

20. transillumination

21. DNE

22. DNE

23. RADIOLOGY X RAY NASAL BONE

24. X –ray PNS Water’s view Caldwell view

25. X –RAY PNS LATERAL

26. CT PNS

27. CT PNS

28. OMC

29. ONODI CELL

30. CT PNS [ sagital ]

31. CT PNS CONCHA BULLOSA AC POLYP

32. polyps DNE CT PNS

33. ANTROSCOPY