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Examination of the Face

Examination of the Face. Heather Nelson, RN. Face. symmetry shape unusual features expression scars lesions edema involuntary movements or tics. Sinuses. Palpate frontal and maxillary Percuss for tenderness A patient with sinusitis may have tenderness

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Examination of the Face

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  1. Examination of the Face Heather Nelson, RN

  2. Face • symmetry • shape • unusual features • expression • scars • lesions • edema • involuntary movements or tics

  3. Sinuses • Palpate frontal and maxillary • Percuss for tenderness • A patient with sinusitis may have tenderness • Transillumination may be helpful

  4. Transillumination • Transillumination of the frontal and maxillary sinuses is performed if sinus tenderness is present or infection is suspected. • Must be done in a completely darkened room. • Use penlight or otoscope. • Apply light under each brow for frontal sinus. • Place light below inner aspect of eyes and observe through mouth for maxillary sinus. • An opaque or dull response indicates either the sinus is filled with secretions or not developed. • Note asymmetry of transillumination.

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