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HEALTH ASSESSMENT

CHAPTER 17 NOSE, MOUTH AND THROAT

QuestionAnswer
PATHWAY OF AIR nasal cavities (or oral cavity) > pharynx >vocal box LARYNX>throat trachea >windpipe primary bronchi (right & left) >airways secondary bronchi > tertiary bronchi > bronchioles > alveoli (site of gas exchange)-lungs
NOSE NASAL CAVITY (NARES-CILIATED MUCUS MEMBRANE)FILTER DUST AND PARTICLES TURBUNENCES(MOIST AIR-HAVE 3) SEPTUM(ASSESS SPTUM B4 NASAL CAVITY) KIESSELBATCH PLEXUS(NOSEBLED) OLFACTORY RECEPTORS-SMELL
nose PARANASAL SINUSES-REMOVE PRESSURE FROM SKULL BONE-GIVE MUCUS-RESONATE SOUND I.E VENTRAL, MAXILLARY, ETHNOID(ANOYYING IF INFLAMMED)
mouth ORAL CAVITY-LIPS HARD PALATE SOFT PALATE UVULA-PREVENT FOOD TO ENTER NASA CAVITY TONGUE-SWALLOW-PUSH FOOD BACK FRENULUM SALIVARY GLANDS-PAROTID-SUBMANDIBULAR-SUBLINGUAL TEETH 32 PERMANENT
throat NASOPHARYNX-BEHIND NASAL CAVITY TONSILS ORAPHARYNX LARYNGOPHARINX
INFANTS AND CHILDREN SALIVATION BEGUNS IN 3 MONTHS OLD CHILDREN HAVE 20 DECIDUOUS TEETH COME IN 6-24 MONTHS LOOSE DECIDUOUD TEETH 6-12YRS
PREGNANCY NASAL STUFFINESS- PREGNANCY RHINITS -EPIXSTATIS GUMBLEEDING
AGING ADULTS DECREASE SENSE OF TASTE-SMELL- SALIVA-INCREASE RISK OF THRUSH-CANCER MALOCCLUSION AND DENTAL CARRIED
ABNORMALITIES-CULTURE AND GENETICS BIFID UVILA(AMERICAN INDIAN) CLEFT LIP(ASIAN AND A.I) TORUS PALATINUS(WOMEN) LEUKODEMA(AF.AM)- DENTAL CARIES PERIDONTAL DISEASE ORAL AND PHARYNGEAL CANCER-ALCOHOL-SMOKING-HPV
OBJECTIVE DATA – INSPECT and PALPATE Nose: External nose: Inspect symmetryPalpate contourTest nostril patency
NOSE Nasal cavity (using penlight/otoscope):Inspect each nare/cavityInspect nasal mucosaInspect septumInspect turbinates Palpate sinusesFrontalMaxillaryTransillumination
MOUTH Mouth:LipsTeeth and gumsTongueBuccal mucosa Stensen ductPalate Throat: TonsilsViral pharyngitisStrep pharyngitis UVULA RISES SYMMETRICALLY -CAN'T SEE THEM 0
DEVELOPMENTAL – AGE SPECIFIC PATENCY NO NASAL FLARES=DISTRESS IN BABY Place baby supineCarefully restrain armsTry game playing with childrenOnly use tongue blade if necessaryNose:Determine patencyOnly maxillary & ethmoid sinuses are present at birth
DEVELOPMENTAL – AGE SPECIFIC Pregnant Women:Gum hypertrophyAging Adults:Increased nose sizeYellowish deterioration of teethRecession of gumsSmoother and shinier tongue and buccal mucosa
Created by: Seka_nurse
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