.
Inspect the auricle.
If ear pain or discharge, press on Tragus.
Pull auricle downward and backward prior to inserting the otoscope.
Pull auricle upward and backward prior to inserting the otoscope.
Inspect the outside of the nose, notice any deformities/asymmetries
Test for Nasal Obstruction. COTTLE Test.
Test for Nasal Obstruction. RITNESSMILN Test.
Inspect the inside of the nose.
Palpate the sinuses for tenderness
Upper Sinus
Frontal Sinus
Sphenoid Sinus
Ethmoid Sinus
Lower Sinus
Septum
Maximillary Sinus
Inspect the lips, teeth.
Inspect the pharynx.
Inspect the oral mucosa, gums, palate, floor of mouth and tongue.
Inspect the polyps.
Inspect the adenoids an polyps.