ENT History Taking.pptx

Medical center

1. ENT History Taking By Prof. Shaheen Mallick Department of ENT BAQAI MEDICAL COLLEGE

2. ENT History Taking Introduction: 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 History taking is the integerral part of job for the student and doctors to reach the diagnosis. 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