CPPE clinical examination assessment: process for looking at the throat
- Demonstrate understanding of indication and procedure technique
- Obtain informed consent prior to procedure, including explaining the following:
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- that you want to examine them
- what you are going to do
- why you need to do this.
- Observe the patient’s voice and enquire about recent changes
- Ask patient about problems with swallowing
- Exclude stridor before examining throat
- Ask patient to fully open mouth and say ‘ahh’:
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- inspect oropharynx
- inspect tonsils for symmetry, size, colour and any
discharge or membrane.
- Palpate the cervical lymph nodes
- Record findings accurately in the notes
- Explain findings to the patient
- Recommend appropriate actions (e.g. prescribing, further relevant investigations, referral)
- Demonstrate a person-centred approach
- Seek help where appropriate
- Demonstrate professionalism.
Click here for CPPE's Clinical Examination and Procedural Skills assessment record.
Reflection exercise
Try out your examination plan with one or two staff members and note any areas where you can improve your examination skills.