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HEENT examination

Portion of a physical examination

Portion of a physical examination

A HEENT examination is a portion of a physical examination that principally concerns the head, eyes, ears, nose, and throat.

Steps

  • 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

CategoryItemSample text
Head"NC/AT" or "Normocephalic, atraumatic"
Eyesophthalmoscope"EOM intact, PERRLA, anicteric, no injection, fundus WNL (within normal limits), no papilledema"
Earsotoscope"TM intact, noninflamed"
Noseotoscope"No congestion"
Throatotoscope"Oropharynx WNL" or "no erythema or exudate"
Mouthotoscope"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

References

  1. (5 July 2005). "An introduction to clinical emergency medicine". Cambridge University Press.
  2. (2001). "Medical Records for Attorneys". ALI-ABA.
Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

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