Ext Nose : : [Coates cretnagennet Fromme oe - | © Noxon CaUiFY peepee ~— : L 4 pout Bn st nial. sin aloo fast @ Upper lateral Cartilage — Crleonal Nose, se ly ae _Tip_of Nose is called ope ol tne anltoe bad hich ttn Ae ond apex Ele Doon 8 a 7 [7 Dovaum of tose | t rm SS "Toe Prittum ——$ “Herre eee GY. ‘Scanned wih CamScanner taniRAE Date Page Z| ——] wm Bony part — opber - I, of ext: Nore Tip Cavtilageneous port - Lever 2/3 port of Ext. Nose | © upper lateral. Cartilage —— | Lestend from athe under Suvpace of the narat bene about to | the alay Cartilage beled 7 ~~ lower Lateral Cartilage C Ale) - LE U Shaped = Lateral crus forms the ale Copediak Crus stun in the Columeto « | @ Lessery Alas U Tree or more én number @_ SepteL cartilage C ge supports tnt dorsum of the Cart lagenous part of Nose. | TK | 7 (Arnasal Gone 4 \ 1 tateral Cartilage Cupper) Leader Alar cavitaqen Tater tae lage (tower) Septal carhlag+» ¢ ee we Divided into supnh ond telt’ Nox 16 —< ig 4 ‘of Cnuaticn chy Nawal Rebsums Pach: (oui Lolth rasophyynx dtnrougte ‘Choon - ‘Scanned wih CamScanneree — | Sin lined Portion ueatibule Contents _ : me aimedl Portia - Nota corey Prope mnfeci Se ap et "9 Sink &-infecioepat alias skin Contain Seba. Qe it timed. by Upper bimnid_-Lianela nosh { + Omnaist of Lateral pool medial coatt A ee | + Otis sail forned_by © Later mars of ctlamaid ane — Lonll o} Nase: | + Cmchaop axe Aceall Mvucsirce Crnered by Mucus bMombeana > + Shnee lis’ COnthas Ont cabled menkuseX (®)_Goferioe tucbhnates | Conthas boris aeharate bono od | b oto it inerior amends _pihichi_sheniong nascla crema ! duck gousedad Jou Hsineth Waly (8) Middle turbinates Basal Soynellon is Middle Mendy ~@ Un cine te Prcent_—pe Hook pike Sv wt Runs froma Ande fuer oe *Divection- ‘Scanned wih CemScanner—| je — se dal. | Gaxdevo| Autla.e-thma) a | gy 11 2D Share of 1-2 mme Page |_gs posteva= supa erioe botdevuh shay: ond uns parllel to ont. | the bi ap _bjo shins 14 cabled hits Semituamts | Pvievin = Inifeviox Border = imps tub oto © Bulla Sthmoidalée > CHmnsidal Coll Situated Behind. Umicate braces. = Bulla. anny be_pmsumnatiged Cel a Anti Bane praiaent: ——\ = © _Atimm a} the Middle Meter @_A ger Nass DWiddde Hibinate # Prenmatication. nlavged hall d= ka ee Concho pullora ‘Il Supevine techinales __-* “A xpace bolo uberis turblollek ix Stubeviox meatus - Noob epiinm form the medio vou0Q | fae» 1 = Sbhenaid @ Midis hovizental =" Gri Sribritean foun [late _ethmold — Bonz: Linning Memb ap tnd. Mote. ee ‘Scanned wih CamScanner1, —— ‘Ovetihule fo et : EE a Rapie vi Region mim a t ® falhichor ond. Aebacoays taland, akin tonlalning hac, haide Resplvadore mucous ern [olfactory 197 _ : gd. columnae ‘non-cllfatid aa a= _ > Consiat of Preudosteatifiedk | —F Columnay cillioded pie a je 3) at cover dower 2/3 part of |? _ nasal cauely _ f 3] Pimmssh IS Yellowlah t |_Resprroton L, Hetp in atfjocton a je ai] tnucous Serous Glomde fo nly serous Gland _ Cc __ Autenordic Herve b Suppiie atjactoe M4 1At a gupedas tuetrnad { Superior means L qaiaghs Juda { ( palais rneadus & Safedoe Forbhnady ont _t Sinfeeotemnenbys 1D _ DAS L NS iosciogrima bus mediot- i ; Unicode proce piv Bulbo, eth moldales { an _ —— 7 ‘Scanned wih CamScannerN P emcasupnys OO) upper port of NC = Ant fost EAtrmoidat Artevcres CT tower part of Nee = Mavillary “Spheno- patatine Ar ilery - ios E Foterlor Strmoidal Neve E 7 AWA Autonomic Nevat Ct olfactory Neve £ " Gaspecti Pothab'on R adiolog toad Digitat, probing Bwspection of (Inspector palpation ‘ External Nabe oF Nasal © veshibul ok CaLLiy O Arnterins © fast Rhinastop y Phinascopy d @® sspection of Et Nose-4- Vertoulat — Poxsible even tn ordinony Light —- Gt Nose ws erommed vby ony Swelling. , Degormi ty a ceases ‘Scanned with CamScanner| aN \ weenie Date nae © p anterior Rhnaktopy yexambiny af ant | rnc cadth the beth of + the speculum vey pet by Joetient ait ret of MC ethudtcrm a the tepe hand ond dant, Apeciiturrn che btade, clased= anortyit, cep the cto detate th > ower thes blerles OU. open. geely iL Light ey focttsed_ on None form dig ht {hoa ution» 1c deen bey ant. Rhimoscnp { Nasal Septum . middie, Juvolmates, __tonth_ the hot | following heueler _ wer and anterior part & |__ Wanterior part of Joferi [© Besterior Rhinascopy | | E Post part ot Nic and Tarophymx ave examined wey Post Brie Tp atas done wHh heth of past Rhinorcopy minor and depressor: 7 ry aa by me mirror it alightly woarmed. to avaich fogging ord one [ 2/9 of tongue ui _Depresed dey tonqut Deprenior the mivrortt then Alipbed over donque Pepremor and placed bio Soff potate and ‘past phyramqeak woake | a following structume ane Seen. © Post. free margin of nara Kepivm- © Posts Navres . Peat. end af stmt: Subs middle mmecten ul | @ Opening of eurtachon tule al © Nosoparne i Digited patpottn — Agenat'd vi palpalate « Prabing - Prablng tert 1 d SE esol poll ne with the help of masat prabdé = Ty cic hard 5 j aN ‘Scanned wih CamScanneree eee FREENINE el ~~ 7 _ FAAPTSST fatanT _ — Hae _ nes aipy - 3 (Susb) choral - | —— 7 ——F cap bet eee a a 5 (ecoee sects : TT - Hage = ) aFoTNEy Cardillags E ar aula Meret ae COATS, - ermal 72 —— @ 6 @| ae — 1 cer es) — 7 _ (J fa -~ 2% COPKRY 6x4 _ 6 | rte — aver & ser omer & _ 6 | wir = 2 | @ | w= OPT -—.2Nvmber* LE _ fren of ‘Scanned wih CamScannerBO enn Suberios mechug : Medial meats ( Mayillary: Sinus CAntum of Highmore ) Pyramidal Jn shape Loxgest: Paronatal Simuer and Oceuples athe body of Morlo Capacity 15 mb dn adult Anterior Walk — formed. by factat Susjoce Marla & Soft aesue 4 Cheek Medlat walt — Releated. 4o middte a Inferior Mectus and tht biace thds wall 0x Khin & membynow), ‘Scanned wih CamScanner| farmed. by alveatac and patontine proce ef the rronilte | Floor = Roo - formed. by floor of the orbit pentat nfection vs also and.jmp Cause of maxillary Sinusi'bA ostium of =the moxillavy Crus uu situated high up sn medio£ atk and open tm Ao tarddle mecdit 2) Frontal Srnut 1 uarle shape cmd. Size and tA often loculabed oS itunte d bli the imney and outer inble af feomtal bond _—__————| fhe tion frontal. Aimusex ote often assspmetele Aenierios wall . Releated. to the Skin over forehead Poxtevior walh- nn Menknges and. frontal Lobe of Brain: Inferior walk~ nn orbits & Sb Content (3)_Ethmoidal Sinused (himialled. of coniticn jon the toferal, masses ap ethmaid bono, Dheis number aries from 3to 1a. open Cliatealy Din cla in_1_proups ps fiat Sthmaiel —>—taiddtrnenlu — Pog t 0 —_Subevioy Roof = foxmed. loss ombestor Crmial Posca + Loteca) = Cribeifrom bloft - rbot ‘Scanned wih CamScannerDate (#) Sphenaid Sinus +|}Qt occupies she bedi} af apron Symmetriccl ona +1 fhe ioe, auth qd oft Alouttes one stout pose sehen Jeno fade ent? bhi: In the Anterior port c Roo}. Ls Related sto olfactory Aroct , ope chi ayma frontal Jobe UTateral voall 2: Related. ts optic merue, perral Corotid Artery. & marillory perce Gn the pasterior part p—Roof ws sieleated to fitutary otand & relia Heracton CO tateral walk us melatid 42 cavernaw Limy internak Coatid Arud & CN UL, ur | function of tht forranagul Sionuieg they wer & motat thi in pired cite = th ee ‘Scanned wih CamScanner—s HGS pee ————_ Page —————__ Chemit Ate 3 ; 1. Chymic Simba Rhmiba { L = Hyberteabit Rhivth + 1 Tt t . { Borteriog Feritatny 92 Atrabhic Rhimtbs u ) 4- Rhinihi rer frementd Cerys) | 5- Rhinitis Caseater SREP, Gn fuT270. Rhinitis | O opitative Rhiniba i I ——s I Non-specific Specitic | 1 Ciipnierie Rhein) | | a! i i FF & Retult of batteriah gnfection a[F acute Ural Rkmitii- foun oe Comes 1 —sblecalti om Gem onl 0 Gmmon fatd te y2c.) [. Coed by ademonicas rhimaniews piceoenautes | . ; ’ q — ‘Scanned with CamScanner— Twa torn fewer Ol andiatiy masad Dincheaepe. 4 coat ie bud onan becom TT gc. Fj ie | ctimicat fea tine len bigiminy burning fenttion ot b of 5 = | masat taiines tHimavchen sneezing : 1 d N anucobuvelend dur to Leconcary “rndec tion - Treatment = Advise hed Rost = Plenby of fiurid ant enra RR, = Anthiviammick marae d ongesion ts _fmalpescis - Gofluenza Lhimitis = Ynfluenza Uivus A BC stesbanseble RhiniHn attecinted with S20 themos — Measles Rubella Chixenb Be He TaE_Mediated smmimalogicar Reshenge of meral amucoia to culxborne — ollergens ps | 7 i -2|| Pevimenf = dotink taupe aut sper. Aestalayy lu] tetvimaic Alleynens ® Bacteriq = Stvepin | staphylo ——_|| @ Comtuct = Nosat drops — & Dew = Asbei 6 Tohalation = pust patter _pallen 1° Tngestivm sent Pett ‘Scanned wih CamScannerERELMING pate — Tmisinstc_allergens = > Rroien oleate + aller gf ——__ } ee 1 Pothogenssts ia I Allergens a | “3 | L : “? | Ta € Ab produced. win entice tly predusposed ef ZV trdivisueat 7 fe ond ‘ak nd | L t ; ae Combis Ag Wmbine Weasdaron 5 Prucarak odarno. by anfilteration eoith eosinophils b Excewrlue Secretion from nasal. Gland 1 Smooth Muscle Contraction cle [Franglo SE Inter) read, Disttrege = TER Licking ion nose, ant tins. oe. patete_ pape = ‘Scanned wih CamScannerZa | “ee 4 |_Gedema_o_et lids ad | . Diggmasis — tie & pie = Eosinophil io a. Nasal Semen ge Kin best = hotfclc cradle + Radin ollevgesntbent fesh $= Neat pyevacaton tot Treatment t= Apnidance ay altevpenk = Anti hldaminics . . £9 fheuidephedrine , phenylephyime @ Costteoateriod s ® leukotriene Lecebler babagente = Montelukast (9 Tarr ii Recinvvent Sim usidl a 4 tif apap —f Sows otitis Media ~~ @ Reolol_ faators © Aeternmune. proce 4 ‘Scanned wih CamScanner——"t Pate — Page —_ Ji lak: ial 09: Loitiotod Colummmaxepitheltine “eee > SSE Lgamngus_t¢he- fheve at ctvoply af Aexoamelci Qnd_mevue element fhe hone aj ndial choaber ia a a ‘Scanned wih CemScanneraT y ~ A Singita — ~ Young. ohersiion ~ Modified Youn voto ~ Nox mtbr dt marat Couerbod ho Tt ty dy Sassen Bakes. fren «guts Sanita: j t ra) oo ; 2 d _ ay the naral ob bum - ta i, | } “| Repaval of tsk Cutie UeLeerorban ¢ eplalensss— Trentment ; |. @ Correction ¢/ Ocutprenal Smmpery: and apblicaben af Hl THOTT | Bland omiemert > Prbbbiabic « Steriods ? Treatment Remaval oj debvier ond Loves lonn bates Teak © _______ it ‘Scanned with CemScannerof Sevowd and muces Atoret. ‘Scanned wih CamScannera pening om te_lunulence of ogpntin tre dSieast-oanyy be £ naiid_ox Severe it extiddaic axe sera Jaber é¢ onay sbeaarme mucoputednt | or_purelesst fouluve_of ostium so drain seturt in empymen af Linss one Dexkuction | oy tht Bons raat teacling sto_Comp liccthon Subpeotiue Sinus ika = | Aetialog: ot 2. | Dining 4. Bioining aa Conteminated water» a-| Dental injection ove imp Aur ce ma illo Simusittn. 4-| Troma, to the Binns. ce @_£phic y i date a GQ! Consitutional Symptoms fever General matnie 4 Body acho « — They cree Heute j4oremio» a e — Confused tty Promdal Rw siti 1 CR Aas src _—& fain - ‘Typically nt “ode ‘tapped bay ah weed | LF fo tecth & 4010 + Pai . : Im ion. op geauated by Atoofaeng Coup abu _ — cS hewn Poin 0 steered to Auproorb ital is -_ ; egloncad thus. tiny Séeallatt fetal Li faut foadectian , . ea ‘Scanned wih CamScanner‘Scanned with CamScannerFEELIN q zs Date e Pago ——e * . ~ Lot : -|| Sty of tanter Into Alnus dinimg Surioni = | g . Be femal trauma 4-ll Cdema, af priddfe Meads. cle frumtoh Headache Usue by Aeure and. oes Over the aHected Simus!i 9t Rhouw Chavackerahc hi ay, ba Cash upon salting Peaduailae macceateand stench Ls peak by about nid day — cmd then Skitryta dubatdiong sk sh alre coiled othice heodache, 2. || Tendermesa $-l| Qedema oo} tsbper Sid& — phatophrabic 4-1 Maret Dinclarde Dingmasis Lomo Treatment <7 Some — Surgery <>) Texphimaction_of fental Seng ee ae] _— Aci talog ——3, Acute edbemoiditis 01 alten omociated. tolth miection al athty mur. _ | FS are amore Common _m info peseng chub, ‘Scanned wih CamScannerAeitolog Taolated naoenat of aid fins sate -O1 2 Ht Fg part of pansinsibis. a cle Heodatht Ppstal. Noswl Discharge Some — Treatment = pisos at = | ~ iq am i | 4 i > ‘Scanned wih CamScannera ent dt pHNUE tH yanexe Sysipiom.s—has_ton ji —— LA fnkegy © Bactecial.tmection Pothopiays laloges tose of _Gattic, | se agys imc Rn PALER Chemicals PMTECREM of nant & pacaial_tint aaa — SS ret [Popes ) Mucosal phamge Je anergy Filgh TT] braemage ZZ ae Janjecton K Vanial Safe ion ¥Inadiqoak: Snerapy of acuke Smusithy Stymfatoms Signs Gomer s 2 Nasal dbstyuction + fort Rhinartopy 1 + Ginulert Discharge + cdema_o} dnnsal emuce + yosomin £ onsorinir *'_puthipie NaAed pa af ‘Scanned wih CamScanner; ' FREEMIN —— Page Treatment . 1D fmbblatic__= Macralide 2>Suline seelgcction » 8) Topical Dx congevtemad 4 Sterk t . frti_ollergy det = Andhistomines ia ck aa Sinvge/ ic Sikwaid Ga d li - @_Chaonit_onasiloxy gmt — tb ____________ aw pea Cavity wit inigated @ Tnbonnsal_on tind = A_iaieada te create d_.in—bnfering —_ meatus to _psoutde anvetion to the Clnus 4 tb free cf cabnig 2 ave senouedéa romdom .ci_ created hla the antrum <_.inf_cmeatus 0h Cor hn oot Candshon v Nasal tye a All Nosol niu cosa. undergo thy Hnmie Cybital Con geaHon & 7 a thud Qimabioltiong the oule}ious thaouigh sonal Chamberke 4 | bihen one moudt chamber 1s tocrking,tobal anasal sieip tection, —~ equal to—thato4—fath nase chamber’, th orrsted aut oy ib — KR uc, Cyolt Varied every 24 =£ hour ond emay she cheratesihe —~ poe beatin * i ‘Scanned with CamScanner“a | eng Jone inside nose si Catted. ebisiosls + 3 1 Comman ond keenin all age (aroup tae | La | Le] ao eu Qt often present as emerqenttys » @G Siok Nasal Sepiom Ticea Ee A tL | obthakmie Autery a faciod Maritlayy (_frntecinr __@ fostering Attery Astery G4ranidal _etrvanidad | | artery Artery I 4 z » Superiey tna, C water _@) Branches _. Lobiad tin Tey lon’ 2 al Lfpbere T filer a pula bi Actery D © Sepiel Gronch: Prominiony A wd OPN CFP y SphenopionthTe Artery + memeroecmemecece ON ‘Scanned wih CamScanner“pa fof nasal 42 {aa —__ = (ae = _— aituoted in_th! omierlor inferior Wi bone the VesHbulat- ot 2 . 9 ~ peplabbexnchof Supector Lob icel_coekersy (Creator plan Hare " n ” phena : el_forma_c._arscusoe fool ¢ plows la "A _plenus). Di oxen, por duying efeck @_Loca) = Noxe 4 Nevophyrn: cal. 6 ( Ediopatnéc @_ Nose ¢ FiT-nDdA) QD foreign Body — L ot Mom Ai! & Baggett, leeches @_Meoplasm of Nase 2 prranasol inuses @_Dembcrte oJ) Nasal deci. @_Nossphpmx—- « Admenoidstig + pratignont Sumor: dy ‘Scanned with CamScanner© Cold Comprers ‘Scanned wih CamScanner; We = ee ~s nitrcte zi _@ fd. Naw hocking =m _ochve Ant: epistayls a 22g Bleeding Js pspise i Site gy bleeding si dificnntt tp locate 9 OQ Pye. wisn Puevng + On past epistor's a @ 6 sash = Sahin. then bsqjuse pleeding doetmot permit ocalization co} Bt edling Time an lenation a] Muroherishon driad Pia p 2 ub t of @ Ligutim a} _usssels H @ bof © mas: Axiecy ‘Scanned wih CamScannerNasel_halyh ove_mon-meoplastic mares of oederontaus aak.ox Binns fonts hMe aaa TST EES ~ Amtvocheanal Poly Gilat Ethmoidal Palyb- | + Slt -_ thin Stalk _ Chana = Roma foolubloc | ~~ = phala s Sxact Couse i unknown | + Chrmic Phimosimusit& Agthyaa be = Common Jin _childven | + Common fn Adutby ~tuthese= > — Salida 7 Pathe Favret (rigs = | too ito y—Sienus enea Osh . $s fuath - | Cor barkraord. 4o_checna —-+—taastliy gauss cnn teria 2 enc $$ mny-hang doen behind | __ present at aaaves 4 palate Syn, l= Uriladeral Noval Obsbnuchion - Nasal stiHhneyt Jeading de Jalal mal ob, - + Voice thick « dull ~Portiol or dotol tour of Lente at smelo “Natal. discharge mucoid | Headache 3 oni e2mng-ondiaadersy deschaygt ; “Tanutpitctudinng fea ht note! fet tien Gencly ined | « Polypappens as samadtrgtitent eas aplen pate Jor catoue. SO sbhen Longe a smadath greyish | “bans “Sacer may. deen [yet tei Selendis to daachaxge tay. a ing-ond_dinat blest qm douth lS aeeem ee ranrees cogil Nowlin = Bemndening of nate ancl tied) in_choana Lantabhye aor 2 f : ST andiochoaral palyp Seen ‘Scanned wih CamScannerthin tx on tomb Gone of orasal abi peuction Beibalogsy _@ Touma B) Deviobemental, Prror @ Racial factors 16. HeBecisilony facts | TK i 0 We fT if ee =p ! =. 2 ' Deftectinn [ | —% Thickening ‘Scanned wih CamScanner