Examination of the Nose
The nose should be examined by close-up mirror observation with a good light in various positions of the head.
1. Observe the skin of the nose for any unhealing sore, warty growth, soreness, redness, recent enlargement or bleeding areas. These findings may indicate skin cancer or other growths.
2. Observe the profile and centering of the nose on the face. Both nostrils should be equal with the nasal septum in the center. Major differences indicate the very common external nasal deformity.
3. Determine the patency of each nostril by rapid inhaling and exhaling. An obstructed nostril may mean an internal
nasal deformity, allergic rhinitis or sinus disease.
Fig. 17. The nose encloses large volumes of air passageways above the mouth and deep behind the visible nose. Disease in these chambers is very common and is termed “upper respiratory disease.”
4. Tap along the bony ridge of the eyebrow, cheekbone and bridge of the nose with the knuckles. Tenderness in these regions and continuous discharge from either nostril usually denote sinus trouble.