Sunday, March 13, 2011

ENT Examination Checklist

Checklist for examination of Ear

  • GREETINGS
  • CONSENT
  • EXPOSURE
  • Inspection of pinna
  • from front, from behind , from above
  • Palpation of
  • tragus, pinna , mastoid
  • Examination of EAC without speculum
  • Examination with speculum
  • Otoscopy with and without valsalva manuevere
  • examine other ear
  • Tunning fork tests (Rinne’s, Weber,abc)
  • Facial nerve Examination
  • Fistula test
  • Nystagmus
  • Finger nose test
  • Romberg’s test
  • Gait


Checklist for examination of Nose

  • GREETINGS
  • CONSENT
  • EXPOSURE
  • Inspection of nasal bridge
  • From front:
  • From above and sides
  • Inspection of paranasal sinuses
  • Nasal patency
  • Sense of smell on either side
  • Palpation
  • Nasal bridge, paranasal sinuses, orbital rim and canine fossa
  • Anterior rhinoscopy
  • Without speculum
  • With speculum
  • Posterior rhinoscopy
  • Examination of neck nodes


Checklist for examination of Oral Cavity and Throat

  • GREETINGS
  • CONSENT
  • EXPOSURE
  • Assessment of trismus by mouth opening
  • Tongue movements
  • Inspection of buccal mucosa, lower alveolar ridges, upper alveolar ridges,palate, floor of mouth
  • Inspection of oropharynx
  • Aah test
  • IDL examination
  • Neck nodes examination


Checklist for examination of Neck

  • GREETINGS
  • CONSENT
  • EXPOSURE
  • Inspection
  • Upon swallowing, protrusion of tongue, cough, valsalva
  • Palpation
  • of adam’s apple, of trachea
  • Laryngeal crepitus
  • IDL examination
  • Palpation of neck nodes
  • General physical examination if required