Читать книгу Essential Cases in Head and Neck Oncology - Группа авторов - Страница 80

Well‐developed female in no distress. Voice strong.

Skin: no suspicious lesions.

Well‐aerated middle ears without effusions.

Oral cavity: limited mouth opening to 2.5 cm. Teeth in good repair. No lesions seen or palpated.

Oropharynx exam: small asymmetry in right tonsil with an ulcerative area that measures approximately 1.5 cm; both tonsils are small. Right tonsillar lesion is firm, but the tonsil is mobile. There is no trismus and the soft palate moves symmetrically. No lesions are palpable in the base of tongue. Vallecula is clear on mirror indirect laryngoscopy. The nasopharynx was incompletely visualized.

Neck exam: normal salivary glands with no adenopathy. The patient does have radiation changes in the neck but no woody induration.

Cranial nerves II–XII intact.