Examination of nose ear nd skull

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Skull[edit | edit source]

Inspection[edit | edit source]

Skull shape :

  • hydrocephalus
    mesocephalic - normal skull shape,
  • brachycephalic - shortened posteriorly,
  • dolichocephalic - anteroposteriorly extended,
  • microcephalic - small skull accompanied by mental disorders,
  • macrocephalic - magnified,
    • hydrocephalus - in children - due to an increase in intracranial pressure when the circulation of cerebrospinal fluid is disturbed - enlarged calva with splayed seams
    • Paget's disease - bone thickening for unknown reasons - mainly in the frontal landscape,
    • caput quadratum - square skull - prominent frontal and parietal part of the skull - caused by vitamin D deficiency,
    • turicephalic - turret (tower shaped)- premature fusion of seams

Palpation[edit | edit source]

pagets skull

Sensitive innervation of the face - outputs of the trigeminal nerve - painful in inflammation:

  • n. supraorbitalis,
  • infrastructural nerve,
  • n. mentalis.

Percussion[edit | edit source]

Painful in sinusitis - especially in the frontal area

Nose[edit | edit source]

Inspection[edit | edit source]

  • nose
    size - prominent in acromegaly,
  • bleeding
    • unilateral - local mucosal damage,
    • bilateral - hypertension , uremia ,
  • secretion - common in rhinitis
ear

Ears[edit | edit source]

Inspection :[edit | edit source]

  • gout tophus - uric acid salts accumulate on the auricle,
  • secretions
    • odorless - inflammation of the mucous membranes,
    • smelly - purulent inflammation of the bone.

References[edit | edit source]

Source[edit | edit source]

Related Articles[edit | edit source]

References[edit | edit source]

  • CHROBÁK, Ladislav, et al. Propaedeutics of internal medicine. 2nd edition. City, 2003.  ISBN 80-247-0609-1 .