5-extraoral Examination.docx

EXTRAORAL EXAMINATION HEAD

EYES

EARS

Pupillary reaction- PEARL Asymmetry Telecanthus Epicanthus hypertelorism Nystagmus Ocular movements subconjunctival haemorrage conjunctival pallor icterus exophthalmos corneal ulcerations NECK

Hearing/ Symmetry Bleeding (Trauma) Tinnitus (Ringing In The Ears) Vertigo (Dizziness)

Bone alignment[deviated nasal septum] Epistaxis (nosebleeds) Abnormality in shape of nose nasal obstruction discharge,

Symmetry Masses or scars Parotid or submaxillary glands Lymph nodes

Smoothness Consistency Temperature Moisture Turgor Scars, Rashes, Sores, Lesions, Bruises, And Discoloration

TMJ Range of movement Palpate for tenderness Clicking or crepitus Locking Occlusion Examine muscles of mastication Parafunctional habits Symmetry

LIPS Symmetry Color Moisture Cracking Ulcers Muscle tone competence of lips, ulceration discolourations

Size , shape and symmetry scalp : scaliness, lumps, or other lesions Hair: quantity, distribution, pattern of loss if any, and texture of the hair

NOSE

SKIN

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Submental Submandibular Facial Preauricular Postauricular Occipital Jugulodigastric Supraclavicular Jugulo omohyoid Site Size-measure using vernier calipers Texture Tenderness to palpation Fixation to surrounding tissues Coalescence Number of nodes