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Author Question: In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous ... (Read 66 times)

codyclark

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on: Jun 25, 2018
In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of:
 
  A. Bacterial sinusitis
  B. Allergic rhinitis
  C. Drug abuse
  D. Skull fracture

Question 2

A patient presents to the emergency department due to head trauma related to a motorcycle accident. On physical examination, you note clear, serous discharge from the ear. This is commonly a sign of:
 
  A. Basilar skull fracture
  B. Injury of the auricle
  C. Otitis discharge
  D. Tympanic membrane perforation


lkanara2

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
When examining the nose, assess the mucosa for integrity, color, moistness, and edema/lesions and the nasal septum for patency. The turbinates should be assessed for color and size. Pale, boggy turbinates suggest allergies; erythematous, swollen turbinates are often seen with infection. Any discharge should be noted. Clear, profuse discharge is often associated with allergies.

Answer to Question 2

ANS: A
In cases of head trauma, there are signs of skull fracture. These signs include cerebrospinal fluid otorrhea, rhinorrhea, and raccoon eyes.


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