Posted: March 21st, 2022

Discussion: Patient Nose Focused Exam

Discussion: Patient Nose Focused Exam

Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.

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Examining the Nose of a Patient
Examining the Nose of a Patient

Richard, a 50-year-old man, suffers from nasal congestion, sneezing, rhinorrhea, and postnasal discharge. Richard has been suffering with an itchy nose, eyes, tongue, and ears for 5 days. As you examine his ears and neck for redness and inflammation, you see him pressing and rubbing the bridge of his nose. He claims to have taken Mucinex OTC the previous two nights to help him breathe while sleeping. When you question if the Mucinex has made any difference, he sneers slightly and gestures that it has only made a minor difference. Richard is focused and alert. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway

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