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Abnormal Nose and Sinus

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sandyle909's version from 2016-09-06 03:13

Section

Question Answer
Septal Deviation s/s: nasal obstruction, HA, change in smell
see - spurs and crests
Septal perforations causes: trauma, infection, cocaine, post-surgery
s/s: crusting, epistaxis
small lesions may whistle
Acute & Chronic Sinusitis / Allergic Rhinitis * chronic sinusitis s/s usually more subtle than acute sinusitis s/s.
see slide 96
Frontal Sinus Transillumination place light below brow and look for glow in frontal area (normal finding)
Maxillary Sinus Transillumination place light agains cheek bone below eye and look for glow on hard palate (normal finding)
Nasal polyps soft, translucent growths
can cause nasal obstruction
anosmia - loss sense of smell
Septal Hematomas *causes: trauma
common in peds
s/s: increased nasal obstruction, pain, tenderness
* PE: SOFT, TENDER SWELLING.
* must rule out septal hematoma in all nasal trauma AND document.
*must refer *
Epistaxis (Kiesselbach's area/plexus)*highly vascular region of the anterioinferior nasal septum
90% of all epistaxis occur in Kiesselbach's area
memorize