Ear, nose, and throat exam

by Mark Morgan on April 12, 2010EARS: Right ear: ***tympanic membrane is gray, non-bulging and freely mobile/tympanic membrane is erythematous, bulging and non-mobile/tympanic membrane is erythematous, but is non-bulging and is mobile/tympanic membrane is gray, with air-fluid levels behind it/tympanic membrane is perforated/tympanic membrane has a patent PE tube with no drainage/tympanic membrane has a patent PE tube with purulent drainage/external canal is erythematous/external canal is swollen/cerumen impaction/foreign body in ear canal*** Left ear: ***tympanic membrane is gray, non-bulging and freely mobile/tympanic membrane is erythematous, bulging and non-mobile/tympanic membrane is erythematous, but is non-bulging and is mobile/tympanic membrane is gray, with air fluid levels behind it/tympanic membrane is perforated/tympanic membrane has a patent PE tube with no drainage/tympanic membrane has a patent PE tube with purulent drainage/external canal is erythematous/external canal is swollen cerumen impaction/foreign body in ear canal*** NOSE: ***nares patent bilaterally/pale, boggy anterior turbinates/epistaxis/rhinorrhea/purulent discharge/sinus tenderness/deviated nasal septum*** THROAT: ***lips, teeth, and gums are in good general condition/posterior oropharynx has no erythema, exudate, lesions, or cobblestoning/posterior oropharynx is erythematous without exudate or lesions/posterior oropharynx is erythematous with white exudate/posterior oropharynx has clear drainage and cobblestoning/tonsillar pillars are 1+ tonsillar pillars are 2+/tonsillar pillars are 3+/tonsillar pillars are covered with exudate/tonsils are cryptic/tonsils are surgically absent***

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