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NURS 301 Health Assessment
Chapter 16 Nose, Mouth, & Throat
26
Nursing
Undergraduate 1
04/15/2014

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Term
Deviated Septum
Definition
A hump or shelf in the nasal cavity.
Term
Choanal Atresia
Definition
Abnormal septum between the nasal cavity and the pharynx of the newborn; if the condition is bilateral, immediate insertion of an oral airway to prevent asphyxia is needed.
Term
Epistaxis
Definition
Nosebleed site is Kiesselback plexus in anterior septum, causes include nose picking, forceful coughing or sneezing, foreign body, rhinitis, coagulation disorder.
Term
Foreign body
Definition
Normally in children, produces macropurulent drainage and foul odor, should remove promptly. Batteries can release voltage or chemicals that burns, or causes necrosis or perforation.
Term
Perforated Septum
Definition
Hole caused by snorting cocaine, chronic infection, trauma, nasal surgery; It is seen as a spot of light when the penlight is directed into other nare.
Term
Furuncle
Definition
Small boil in the skin or mucous membrane; red, swollen, painful. Touching causes spread of infection.
Term
Acute Rhinitis
Definition
The first sign is a clear, watery discharge, rhinorrhea, which later becomes purulent. This is accompanied by sneezing and swollen mucosa, which causes nasal obstruction. Turbinates are dark red and swollen.
Term
Allergic Rhinitis
Definition
Rhinorrhea, itching of the nose and eyes, lacrimation, nasal congestion, and sneezing are present. Note serous edema and swelling of turbinates to fill the air space. Turbinates are usually pale, and their surface looks smooth and glistening.
Term
Sinusitis
Definition
Facial pain after upper respiratory infection. Signs include red, swollen nasal mucosa, swollen turbinates, and purulent discharge, fever, chills, malaise.
Term
Nasal polyps
Definition
Smooth, pale gray nodules caused by chronic allergic rhinitis. Symptoms include absence of smell and a valve that moves in the nose as the person breaths.
Term
Aphthous ulcers
Definition
"Canker sore", small, round, "punched out" ulcer with a white base and a red halo. It is painful, lasts 1-2 weeks, there's no known cause, associated with stress, fatigue, and food allergies. It is common.
Term
Koplik Spots
Definition
Small, blue-white spots with red halo scattered over the mucosa opposite the molars. Sign of measles.
Term
Leukoplakia
Definition
Chalky white, thick, raised patch with well-defined borders. The lesion is firmly attached and doesn't scrape off.
Term
Candidiasis or Monilil infection
Definition
White, cheesy, curdlike patch that scrapes off leaving red surface that bleeds. "Thrush" in the newborn, occurs after antibiotic use and corticosteroid use, and occurs in immunosuppressed.
Term
Herpes Simplex I
Definition
Cold sore that evolves into pustules that rupture, weep, and crust. They are high contagious.
Term
Ankyloglossia
Definition
Congenital defect where the frenulum is short. Creates "tongue tie" and affects speech (a,d,n).
Term
Geographic Tongue (Migratory Glossitis)
Definition
Pattern of normal coating, bright red, shiny, circular bald areas with raised pearly borders. Pattern resembles a map and changes in a few days. Not significant and no known cause.
Term
Smooth, Glossy Tongue (Atropic Glossitis)
Definition
Slick and shiny surface, mucosa thins and looks red (decreased papillae); occurs in vitamin B12 deficiency (pernicious anemia), folic acid deficiency, and iron deficiency anemia.
Term
Black Hairy Tongue
Definition
Painless overgrowth, fungal infection, color varies from black to yellow; antibiotic use
Term
Fissured or Scrotal Tongue
Definition
Deep furrows divide papillae into rows. This condition occurs in 5% of the general population and in Down syndrome. Vertical or longitudinal, fissures also occur with dehydration because of reduced volume of the tongue.
Term
Carcinoma
Definition
Ulcer with rolled edges. Painful if in the floor of the mouth. Lymphatic drainage is present. Occurs with smoking and alcohol use.
Term
Enlarged tongue (macroglossia)
Definition
May protrude from the mouth. Not painful. May impair speech.
Term
Cleft Palate
Definition
Congenital defect; failure of fusion of the maxillary process.
Term
Bifid Uvula
Definition
Uvula looks severed. May indicate submucous cleft palate that affects speech due to inability to trap air. Common in American Indians. Uncommon in whites. Rare in Blacks.
Term
Oral Kaposi Sarcoma
Definition
Bruiselik, dark red or violet, confluent macule. Early oral lesions indicate AIDS.
Term
Acute Tonsilitis and Pharyngitis
Definition
Bright red throat, swollen tonsils, white/yellow exudate on the tonsils and pharynx, swollen uvula, enlarged, sore throat, fever, painful swallowing, swollen joints, rash, and scarring on heart valves.
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