Extraoral Examination

Unit 2

17 cards·by mwoehler

Objective

observe and record deviations, screen to detect lesions, provide a baseline, provide legal documentation

Prep for Examination

review health history, examine xrays, explain procedure to be performed

methods of exmaination

direct observation, palpation

digital

use of a singler finger

bidigital

use of finger and thumb from same hand

bimanual

use of finger or fingers and thumb from EACH HAND applied simultaneously in coordination

bilateral

TWO hand are used at the same time to examine structures

symmetry

observe face for swelling

skin lesions

moles, texture, scars, lesions

eyes

scleras, puplis, eyelids, piercing

lymph nodes

nodules, swelling, note tenderness, hardness, enlargement, ask if anything is tender

TMJ

limitations, noises, tenderness, audible symptoms, ask patient to open and close slowly, feel and listen for clicking, ask if symptomatic

lateral shift

observe movement, upon opening only

lips

ulcers, cheilosis, lesions, swelling, fordyce granules, biting

cheilosis

cracking of the corner of mouth

fordyce granules

small fatty deposits

head - patient seated upright

feel for masses, note piercings, palatable nodes