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Nose

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The Physical Exam

Abstract

Smell, not routinely evaluated in the general physical examination, has some important indications. Conventional is the clinical record abbreviation “cranial nerves: 2–12.” There are, however, compelling reasons to test the ability to smell, as outlined. These evaluations can be quickly and simply performed.

Direct observation, as outlined, includes evaluating the diagnostic signs in the mucus membrane of the obstructed nose: upper respiratory infection vs. allergic rhinitis. Techniques are provided to facilitate visualization of the nasal septum for deviation or perforation (the latter of special importance among users of recreational drugs).

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References

  1. Henkin RI. Drug-induced taste and smell disorders. Incidence, mechanisms and management related primarily to treatment of sensory receptor dysfunction. Drug Saf. 1994;11(5):318–77.

    Article  CAS  PubMed  Google Scholar 

  2. Henkin RI, Levy LM, et al. Taste and smell function in chronic disease: a review of clinical and biochemical evaluations of taste and smell dysfunction in over 5000 patients at The Taste and Smell Clinic in Washington, DC. Am J Otolaryngol. 2013;34(5):457–89.

    Article  Google Scholar 

  3. Seo P, Stone JH. The antineutrophil cytoplasmic antibody-associated vasculitides. Am J Med. 2004;117(1):39–50.

    Article  CAS  PubMed  Google Scholar 

  4. Horta-Baas G, Hernandez-Cabrere MF, et al. Subglottic stenosis in granulomatosis with polyangiitis (Wegener’s granulomatosis): Report of 4 cases. Reumatol Clin. 2015.; Pii: S1699-258X (15) 00185-5

    Google Scholar 

  5. Dotz W, Berliner N. Rhinophyma: a master’s deposition, a patron’s affliction. Am J Dermatopath. 1984;6:231–5.

    Article  CAS  PubMed  Google Scholar 

  6. Curnier A, Choudhary S. Rhinophyma: dispelling the myths. Plast Reconstr Surg. 2004;114(2):351–4.

    Article  PubMed  Google Scholar 

  7. Langdon C, Mullol J. Nasal polyps in patients with asthma: prevalence, impact, and management challenges. J Asthma Allergy. 2016;9:45–53.

    PubMed  PubMed Central  Google Scholar 

  8. Mainz JG, Koitschev A. Pathogenesis and management of nasal polyposis in cystic fibrosis. Curr Allergy Asthma Rep. 2012;12(2):163–74.

    Article  CAS  Google Scholar 

  9. Larsen K. The clinical relationship of nasal polyps to asthma. Allergy Asthma Proc. 1996;17(5):243–9.

    Article  CAS  PubMed  Google Scholar 

  10. Blaise G, Vanhooteghem O, et al. Perforation of the nasal septum in cocaine abusers. Rev Med Liege. 2005;60(11):845–8.

    CAS  PubMed  Google Scholar 

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Phillips, R.E. (2018). Nose. In: The Physical Exam. Springer, Cham. https://doi.org/10.1007/978-3-319-63847-8_14

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  • DOI: https://doi.org/10.1007/978-3-319-63847-8_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-63846-1

  • Online ISBN: 978-3-319-63847-8

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