The external examination consists of inspection of the nose for any swelling, trauma, or congenital anomalies. Is the nose straight? Does a deviation involve the upper, bony portion or the lower, cartilaginous portion?
Inspect the external nares. Are they symmetric?
Test the patency of each nostril. Occlude one nostril by gently placing a finger across the opening. Ask the patient to sniff. Do not compress the contralateral nostril by aggressive pressure.
Any swelling or deformity should be palpated for pain and firmness.
Rhinophyma is a common condition in which there is prominent hypertrophy of the sebaceous glands of the nose with overgrowth of the soft tissue. This condition is more common in men than in women. The patient pictured in Figure 11-20 also has acne rosacea, which is a common associated condition consisting of papules, pustules, and erythema of the face. The cause is unknown. The rash is worsened by hot drinks, highly spiced food, and alcohol.
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Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.