HEENT examination: Difference between revisions
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Revision as of 23:34, 15 June 2011
A HEENT examination is a portion of a physical examination.[1] Components of the exam may include:
Steps
- IPPA
- Inspection of scars or skin changes
- Palpation of temporomandibular joint, thyroid, and lymph nodes
- Percussion may involve the sinuses
- Auscultation for carotid bruits
- Tests specific to HEENT examation
- Eyes: eye examination and acuity (including ophthalmoscope)
- Ears: hearing examination and evaluation of tympanic membrane (otoscope used in evaluation of ears, nose, and mouth)
A neurologic examination is usually considered separate from the HEENT evaluation, though there can be some overlap.
Sample writeup
Category | Item | Sample text |
---|---|---|
Head | "NC/AT" or "Normocephalic, atraumatic" | |
Eyes | opthalmoscope | "EOM intact, EOMI, PERRLA, anicteric, no injection, fundus WNL, no papilledema" |
Nose | otoscope | "No congestion" |
Ears | otoscope | "TM intact, noninflammed" |
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" (bruit may be reported here or in CV) |
See also
References
- ^ Swaminatha V. Mahadevan; Gus. M. Garmel (5 July 2005). An introduction to clinical emergency medicine. Cambridge University Press. pp. 267–. ISBN 9780521542593. Retrieved 6 March 2011.