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    Outline For Assessment of HEENT

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    pauchanmnl
    The document provides guidance on assessing the head, eyes, ears, throat, and neck (HEENT). Key areas to inspect include the head for size abnormalities, scalp for lesions, and face for symmetry and expressions. The neck should be assessed for symmetry, range of motion, and lymph nodes. The eyes should be examined for structure, redness, drainage, and pupil response. Ears are inspected for size, lesions, drainage, and eardrum appearance. The nose, mouth, and throat are assessed for symmetry, lesions, moisture, teeth/gums, tongue, uvula, and tonsils.

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    Outline For Assessment of HEENT

    Uploaded by

    pauchanmnl
    1K views3 pages
    The document provides guidance on assessing the head, eyes, ears, throat, and neck (HEENT). Key areas to inspect include the head for size abnormalities, scalp for lesions, and face for symmetry and expressions. The neck should be assessed for symmetry, range of motion, and lymph nodes. The eyes should be examined for structure, redness, drainage, and pupil response. Ears are inspected for size, lesions, drainage, and eardrum appearance. The nose, mouth, and throat are assessed for symmetry, lesions, moisture, teeth/gums, tongue, uvula, and tonsils.

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    Outline for Assessment of HEENT

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    The document provides guidance on assessing the head, eyes, ears, throat, and neck (HEENT). Key areas to inspect include the head for size abnormalities, scalp for lesions, and face for symmetry and expressions. The neck should be assessed for symmetry, range of motion, and lymph nodes. The eyes should be examined for structure, redness, drainage, and pupil response. Ears are inspected for size, lesions, drainage, and eardrum appearance. The nose, mouth, and throat are assessed for symmetry, lesions, moisture, teeth/gums, tongue, uvula, and tonsils.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views3 pages

    Outline For Assessment of HEENT

    Uploaded by

    pauchanmnl
    The document provides guidance on assessing the head, eyes, ears, throat, and neck (HEENT). Key areas to inspect include the head for size abnormalities, scalp for lesions, and face for symmetry and expressions. The neck should be assessed for symmetry, range of motion, and lymph nodes. The eyes should be examined for structure, redness, drainage, and pupil response. Ears are inspected for size, lesions, drainage, and eardrum appearance. The nose, mouth, and throat are assessed for symmetry, lesions, moisture, teeth/gums, tongue, uvula, and tonsils.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Assessment of the Head, Eyes, Ears, Throat and Neck (HEENT)

    Inspect the Head


    o Normocephalic
    Microcephalic abnormally small head
    Macrocephaly abnormally large head
    o Temporal artery
    Arteritis
    o Temporomandibular joint
    o Scalp
    Inspect for lesions, scaling, tenderness, and masses
    o Inspect the face
    Symmetry
    Central brain lesion (CVA)
    CN VII damage e.g. Bells palsy
    Facial expression anxiety, excessive smiling
    Abnormal facial structure
    Exophthalmus, changes in skin color
    Edema periorbital or across the cheeks
    Tics
    Excessive blinking
    Grinding of the jaw
    Compare Eyebrows, nasolabial folds, sides of mouth
    o

    Inspect the Neck


    Symmetry head position midline
    Head tilt in muscular spasm
    Trachea in midline
    ROM
    Chin to chest
    Head to shoulder
    Turn head to R and L (say no).
    o Person turns shoulders instead of neck
    Note pain, ratchety movement, limited ROM due to arthritis or inflammation of neck
    muscles
    Lymph nodes - Note:
    Size and shape
    Delimitation
    Mobility
    Consistency hard or soft
    Tenderness (with acute infection)
    Lymph Nodes
    Preauricular:
    Posterior auricular
    Occipital: base of the skull
    Submental
    Submandibular: halfway between the angle and the tip of the mandible
    Jugulodigastric (tonsilar)
    Superficial cervical
    Deep cervical
    Posterior cervical
    Supraclavicular
    Thyroid Gland

    Goiter
    Inspect the Eyes
    o Inspect External Ocular Structures
    o Facial expression squinting
    o Eyebrows
    Move symmetrically
    No scaling or lesions
    o Eyelids/eyelashes
    Eyelids meet together
    The palpebral fissure
    Eyelashes should be evenly distributed
    Ptosis drooping of upper lid
    Skin without redness, discharge or lesions
    o Eyeballs
    Exophthalmos (protruding eyes)
    Enophthalmos (sunken eyes)
    o Conjunctiva and sclera
    Conjunctiva - normal color pink over lower lids, white over sclera
    Sclera china white
    o Assess for drainage, swelling, redness, asymmetry & lesions
    External & Internal hordeolum
    (stye)
    Ectropion
    Conjuctivitis
    Arcus Senilis
    Cataract
    o PERRLA
    Contralateral Pupil Constriction
    Inspect the Ear
    o Inspection of the Ear
    o Ears should be equal size
    Microtia ears smaller than 4 cm vertically
    Macrotia ears larger than 10 cm vertically
    o Skin intact, same color as face, intact
    Tenderness
    Move pinna and push on tragus
    Assess for lesions, swelling, drainage
    o Tympanic Membrane
    Otoscope just for fun
    Note any redness, swelling, discharge, foreign bodies
    The tympanic membrane, or eardrum translucent with a pearly gray color.
    Ear drum should be flat and intact
    Inspection of Nose, Mouth and Throat
    o Eternal nose
    Symmetric, midline
    No inflammation
    Test for patency
    o Palpate sinuses
    Over frontal sinuses below eyebrows
    Over maxillary sinuses below cheekbones
    o Nose
    Assess for lesions, swelling, symmetry, discharge
    o Mouth
    Assess moisture, lesions, swelling, drainage, teeth and gums
    Lips color, moisture, cracking (Cheilitis) or lesions
    Retract lips and note inner surface
    Teeth and gums
    An adult mouth has 32 teeth

    Tongue

    Mouth

    Uvula

    Diseased, missing, loose or abnormally positioned teeth


    Decayed teeth caries
    Gingival hypertrophy
    Bleeding gums
    Pink and even
    Dorsal surface rough with papillae
    Thin white coating
    Ask pt to touch tongue to roof of mouth
    o Ventral surface should be smooth, glistening, showing veins
    Saliva is present
    Enlarged tongue abnormal
    o Mental retardation, hypothyroidism, acromegaly
    Dry mouth dehydration
    Excessive drooling
    Look for lesions e.g. canker sores, white patches (thrush) (malignancies)
    Ask person to say aahh
    o Soft palate and uvula rise in the midline (CN X)

    Throat
    Inspect for lesions
    Tonsils
    Acute infection
    White membrane covering tonsils mononucleosis, leukemia, diphtheria
    Enlargement; Acute infection, 2+, 3+, or 4+
    o 1+ - visible
    o 2+ halfway between tonsillar pillars
    o 3+ touching uvula
    o 4+ touching each other

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