HEENT examination: Difference between revisions
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{{Short description|Portion of a physical examination}} |
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A '''HEENT examination''' is a portion of a [[physical examination]]<ref name="MahadevanGarmel2005">{{cite book|author1=Swaminatha V. Mahadevan|author2=Gus. M. Garmel|title=An introduction to clinical emergency medicine|url= |
A '''HEENT examination''' is a portion of a [[physical examination]]<ref name="MahadevanGarmel2005">{{cite book|author1=Swaminatha V. Mahadevan|author2=Gus. M. Garmel|title=An introduction to clinical emergency medicine|url=https://books.google.com/books?id=PL9OKbfcHasC&pg=PA267|access-date=6 March 2011|date=5 July 2005|publisher=Cambridge University Press|isbn=978-0-521-54259-3|pages=267–}}</ref> that principally concerns the head, eyes, ears, nose, and throat.<ref>{{cite book|last1=Deutsch|first1=Laurence M.|title=Medical Records for Attorneys|date=2001|publisher=ALI-ABA|isbn=9780831808174|page=57|url=https://books.google.com/books?id=8QqrCPzDnxAC&q=HEENT+examination|access-date=18 January 2018|language=en}}</ref> |
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Components of the exam may include: |
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==Steps== |
==Steps== |
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** Inspection of scars or skin changes |
** Inspection of scars or skin changes |
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** Palpation of [[temporomandibular joint]], [[thyroid]], and [[lymph nodes]] |
** Palpation of [[temporomandibular joint]], [[thyroid]], and [[lymph nodes]] |
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** Percussion may involve the skin above the [[ |
** Percussion may involve the skin above the [[frontal sinus]]es and [[paranasal sinuses]] to detect any signs of pain |
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** Auscultation for carotid |
** Auscultation for [[carotid bruit]]s |
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* Tests specific to HEENT |
* Tests specific to HEENT examination |
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** Eyes: eye examination and acuity (including [[ophthalmoscope]]) |
** Eyes: eye examination and acuity (including [[ophthalmoscope]]) |
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** Ears: hearing examination and evaluation of [[tympanic membrane]] ([[otoscope]] used in evaluation of ears, nose, and mouth) |
** Ears: hearing examination and evaluation of [[tympanic membrane]] (TM) ([[otoscope]] used in evaluation of ears, nose, and mouth) |
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A |
A [[neurological examination]] is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases. |
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==Sample |
==Sample write-up== |
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{| class="wikitable" |
{| class="wikitable" |
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| [[Eyes]] |
| [[Eyes]] |
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| [[ |
| [[ophthalmoscope]] |
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| "[[Extraocular muscles|EOM]] intact |
| "[[Extraocular muscles|EOM]] intact, [[PERRLA]], [[anicteric]], no [[Injection (medicine)|injection]], [[Fundus (eye)|fundus]] WNL (within normal limits), no [[papilledema]]" |
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| [[human nose|Nose]] |
| [[human nose|Nose]] |
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| [[otoscope]] |
| [[otoscope]] |
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| "No [[Nasal congestion|congestion]]" |
| "No [[Nasal congestion|congestion]]" |
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| [[Throat]] |
| [[Throat]] |
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| [[Mouth]] |
| [[Mouth]] |
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| [[otoscope]] |
| [[otoscope]] |
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| "Moist [[mucous membrane]]s, no [[thrush]], no [[Vesicle (dermatology)|vesicles]], no [[lesion]]s, good [[dentition]]" |
| "Moist [[mucous membrane]]s, no [[Oral candidiasis|thrush]], no [[Vesicle (dermatology)|vesicles]], no [[lesion]]s, good [[dentition]]" |
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| [[Neck]] |
| [[Neck]] |
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| "No [[lymphadenopathy|LAD]], thyroid WNL, neck supple" ([[Jugular venous pressure|JVD]] and [[bruit]] may be reported here or in CV) |
| "No [[lymphadenopathy|LAD]], thyroid WNL, neck supple" ([[Jugular venous pressure|JVD]] and [[bruit]] may be reported here or in CV) |
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==See also== |
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* [[HEENT]] |
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==References== |
==References== |
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{{reflist}} |
{{reflist}} |
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{{med-stub}} |
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[[Category:Medical |
[[Category:Medical terminology]] |
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Latest revision as of 23:58, 21 October 2022
A HEENT examination is a portion of a physical examination[1] that principally concerns the head, eyes, ears, nose, and throat.[2]
Steps[edit]
- IPPA
- Inspection of scars or skin changes
- Palpation of temporomandibular joint, thyroid, and lymph nodes
- Percussion may involve the skin above the frontal sinuses and paranasal sinuses to detect any signs of pain
- Auscultation for carotid bruits
- Tests specific to HEENT examination
- Eyes: eye examination and acuity (including ophthalmoscope)
- Ears: hearing examination and evaluation of tympanic membrane (TM) (otoscope used in evaluation of ears, nose, and mouth)
A neurological examination is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases.
Sample write-up[edit]
| Category | Item | Sample text |
|---|---|---|
| Head | "NC/AT" or "Normocephalic, atraumatic" | |
| Eyes | ophthalmoscope | "EOM intact, PERRLA, anicteric, no injection, fundus WNL (within normal limits), no papilledema" |
| Ears | otoscope | "TM intact, noninflamed" |
| Nose | otoscope | "No congestion" |
| Throat | otoscope | "Oropharynx WNL" or "no erythema or exudate" |
| Mouth | otoscope | "Moist mucous membranes, no thrush, no vesicles, no lesions, good dentition" |
| Neck | "No LAD, thyroid WNL, neck supple" (JVD and bruit may be reported here or in CV) |
References[edit]
- ^ Swaminatha V. Mahadevan; Gus. M. Garmel (5 July 2005). An introduction to clinical emergency medicine. Cambridge University Press. pp. 267–. ISBN 978-0-521-54259-3. Retrieved 6 March 2011.
- ^ Deutsch, Laurence M. (2001). Medical Records for Attorneys. ALI-ABA. p. 57. ISBN 9780831808174. Retrieved 18 January 2018.