Oropharynx Patient Oropharynx

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

External ears, nose, and mouth appear normal in appearance, with moist mucous membranes. Neck is supple with trachea in midline. There is no cervical adenopathy noted.

Mouth: Teeth intact, no bleeding gums noted, oral mucosa pink and moist, and positive gag reflex noted.

Throat. Pharynx mucosa pink, without lesions or exudate. Soft palate and uvula rise at midline. Tonsils not visible. Gag reflex intact.

Elevated blood pressure, blood pressures at home, however, have been excellent. She has had side effects on both atenolol as well as losartan. Given that her blood pressures are so well controlled at home and it is good today, we will hold on starting her on any blood pressure medications. She will continue to monitor her blood pressure.

Skin:color consistent with ethnicity, dry, smooth, soft and warm to touch. No rashes or bruises present, nailbeds were pink. Temperature was 99.0F. No edema, jaundice or milia on her nose but a little peeling off her legs. No abnormal moisture or turgor

You have a patient who has been on a ventilator for 3 weeks. What should be you highest assessment priority that needs to be obtained before beginning the weaning process?

This child had a fever of 39.3C and a sore throat for about 24 hours. His ears were

The patient is on a gluten free diet due to Celiac disease. She is takes a daily vitamin, melatonin and a calcium supplement. She is also on birth control. The patient has a history of recurrent ear infections. The patient was last hospitalized at the age of eight after falling off her bike and passing out. She fractured her ankle as a child. There is a family history of Celiac disease and Parkinson’s disease. She participates in physical exercise by going to swim practice five times a week. The patient does not use tobacco. The patient dislocated her finger and complained of pain at a 3 out 10. There are no concerning moles. Patient’s buccal mucosa is a normal pink color and moist, no signs of lesions in mouth or on tongue. Her uvula is

Change in mole/lesions she doesn't have any change of mole on her body. Also she doesn't have any change of lesions on her skin and hair.

Mouth: Oral mucosa pink, pharynx no exudates. Uvula moves up in midline. Normal gag reflex.

○ Ulcerated lesions of the lip, mucosa membranes or palate and cutaneous lesions of the head or neck are common in Type

* Prior to performing A.’s physical assessment, I gathered information over her diagnosis tonsillectomy, adenoidectomy, and vitiligo and any passed medical problems to be aware of. I then introduced myself to A. and her family and asked her if she wanted her grandparents to stay in the room during her physical assessment. I then explained the process of starting at her head and working downward to her feet by providing privacy throughout the whole assessment. First I started, by observing her appearance and behavior and how well A. communicated with me, A.’s behavior was calm, cooperative and appropriate for her age. I assessed PERRLA in both eyes, her pupils were a 3, equal, round, reactive to light and accommodated. I assessed her mucus membranes which were pink and moist along with assessing her throat by looking at the back of throat and checking for bleeding , whitish area, and odor. I then asked her if she had any frequent swallowing and trickling of blood in her throat. A. stated she did not have any frequent swallowing or blood in her throat just some soreness and discomfort in her throat. A.’s throat had white areas on both sides where the tonsils were removed with no bleeding. I auscultated her heart and lungs, and heard S1S2 and her

Oropharynx: the oropharynx occupies the area behind the oral cavity, which extends from the uvula to the level of the hyoid bone. Its boundaries are: anteriorly, the mouth through the isthmus faucium, laterally, is the palatine tonsil, between the palatoglossal arch and the palatopharyngeal arch. The anterior wall consists of the base of the tongue and the epiglottic vallecula; the lateral wall is made up of the tonsil, tonsillar fossa, and tonsillar (faucial) pillars; the superior wall consists of the inferior surface of the soft palate and the uvula1’2. Groups of lymphoid tissue in the mucosa of the pharynx surround the entrance of the throat in a ring-like positioning, known as Waldeyer 's Ring. They are three groups: -1- Palatine tonsils, the most protruding groups in the ring and form recognizable masses, (also known as the tonsils), -2- Pharyngeal tonsil (also known as the "adenoids"), and the -3- Lingual tonsils2’3. Histologically, there are three characteristic features distinguish the tonsils from each other: their position, type of the epithelium and the number of crypts3.

On examination, she was febrile. Skin examination showed generalized erythema with scaling. Mucosal examination revealed stomatitis. No abnormality was found on systemic examination.