NURS-1094EL Lecture Notes - Lecture 4: Tonsil, Oral Mucosa, Rugae
24 Feb 2017
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How much each day: tell me about usual dental care. Note any deformity, asymmetry, inflammation, or skin lesions: test patency of each nostril. Push 1 nasal wing shut with your finger while asking patient to sniff inward through the other naris, & repeat: using a nasal speculum, note; (cid:894)(cid:448)ie(cid:449) (cid:449)ith patie(cid:374)t"s head ere(cid:272)t & head tilted (cid:271)a(cid:272)k(cid:895) Note any swelling, discharge, or foreign body. Septum: deviated septum is no significant unless air flow is obstructed, note perforation or bleeding. Turbinates (bony ridges curving down from the lateral walls) Patient should feel firm pressure but no pain. Retract the lips & note their inner surface. Cheilitis = cracking at the corners: teeth & gums. Teeth normally look white, straight, evenly spaced, & clean & free of debris or decay: note any diseased, absent, loose, or abnormally positioned teeth. Ask patient to bite & note alignment of upper & lower jaw. Gums normally look pink or coral with a stippled (dotted) surface.
