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Nose Examination:: INSPECTION - External

The document provides instructions for examining a patient's nose. It describes introducing yourself, confirming patient information, checking for pain or breathing issues, and gaining consent. It then outlines externally inspecting the nose, palpating the external nose, and internally inspecting the nose using a nasal speculum and auroscope. Key things to inspect internally include the septum for deviations, perforations, and their causes, as well as inspecting the turbinates for color changes indicating conditions like allergic rhinitis.

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Mark Colgan
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221 views1 page

Nose Examination:: INSPECTION - External

The document provides instructions for examining a patient's nose. It describes introducing yourself, confirming patient information, checking for pain or breathing issues, and gaining consent. It then outlines externally inspecting the nose, palpating the external nose, and internally inspecting the nose using a nasal speculum and auroscope. Key things to inspect internally include the septum for deviations, perforations, and their causes, as well as inspecting the turbinates for color changes indicating conditions like allergic rhinitis.

Uploaded by

Mark Colgan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Nose examination:

 Introduce self and wash hands


 Confirm Patient name and DOB
 Ask if they are in any pain and if they have any breathing problems at the moment
 Explain what you going to do and gain consent
 INSPECTION – External
o EXPOSURE- Ask patient to remove glasses if wearing them
o Inspect for obvious erythema
o Inspect from the front for obvious septal deviation
o Any swelling and/or bruising around maxilla/orbit suggestion sinusitis (N.B. maxillary
swelling could be dental abscess)
o Inspect from both sides to look for any deformities e.g. saddle nose (Wegner’s)
o Ask patient to tilt head back slightly inspect the columella (part dividing the two
nostrils)- present and intact?
o Inspect vestibules of the nose by gently raising tip of patient’s nose – signs of discharge,
irritation, epistaxis, crusting
 PALPATION – External
o Palpate over any deformity to check for tenderness
o Compress each nostril in turn:
o Check breathing – look any structural collapse alae (rounded outer area of nostril)
o Check sense of smell – if equipment to do so (if not let examiner know you would)
 INSPECTION – Internal
o Use Nasal speculum – ensure you hold it correct way

o If not in station then insert the auroscope in just past the nasal hairs
o Inspect the
o Septum (Medial):
 Deviation
 Perforation – usually low on septum
 Causes:
o Idiopathic
o Iatrogenic (previous cauterisation)
o Infection (TB, syphilis)
o Neoplastic (BCC, SCC, malignant granuloma)
o Chemicals (cocaine)
 Polyps
o Turbinates (Lateral)
 Colour - pale or boggy think allergic rhinitis

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