Usually, the ENT physician would do an inspection of the nose using a speculum (a metal instrument that is inserted into each nostril to open it wide, and light is projected inside), and if deemed necessary, a flexible bronchospy is performed, whereby a fiberoptic scope is inserted deep into the nose to explore the nasopharynx and oropharynx, which are the conduits that connect the throat (pharynx) to the nose and mouth, respectively. These examination maneuvers should be able to reveal any masses or abnormal growths within these areas. If however a tumor exists deep in the nasal sinuses, in such case imaging becomes necessary to identify such tumor.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.