3.1.3 HEENT Exam Flashcards
What level should you inspect the face?
Sit or stand in front of patient at SAME level
What are some of the aspects of hair that can inspected and palpated?
What’s being demonstrated in these images?
Checking for tracheal deviation
How do you test the CNs?
What are some common inner ear pathologies?
Condition?
Down’s Syndrome
What is the Rinne test?
Name these 3 conditons L to R?
Left: Hydrocephalus (eyes are exhibiting sun downing sign due to increased intracranial pressure)
Middle: Scar
Right: Tumor
What are you noting about the temporal artery when you palpate it?
Thickening, hardness, and tenderness
What are some of the things to inspect the neck for?
symmetry, size, deformity, masses, webbing, trachea alignment, JVD, carotid artery prominence
What’s going on in these photos?
Tonsil pathologies; asymmetry is always an emergency
What is being shown here? What condition is commonly associated with these?
Nasal polyps; cystic fibrosis
Condition on L? R?
Left: Alopecia Areata
Right: Male pattern balding
What are you looking for in the neck regarding the lymph nodes, trachea, thyroid and carotid pulse?
Where are the sinuses palpated in children? Adults?
ID these lymph node regions. What is important to note about the lymph node region shaded in red?
Condition?
Pierre Robin Sequence
What is torticollis? What causes it in children?
What are you inspecting the face for?
What condition? Which nerve?
Bell’s palsy; CN VII
What condition? Which CN?
Abducens palsy; CN VI
What do you inspect for within the mouth?
What are some tests to examine the exam?
What is palpated for in the neck?
tracheal position, carotid pulses, lymph nodes, and thyroid gland
What’s being shown in these two images? What is the arrow pointing at?
What 4 aspects of the head must be insepcted?
Skull, scalp, hair, face
What is being shown here? What might be some complications associated with this?
Septal deviation; congestion, excessive bleeding, septal hematoma
What these be?
Oral tori
Condition?
Acromegaly
When do the fontanelles of the skull close? When do the sutures ossify?
Fontanelles close: 2 months - 2 y/o
Sutures ossify: 6-18 y/o
What may be indicators of TMJ (temporomandibular joint) syndrome?
Pain, crepitus, locking or popping
When palpating the skull, scalp, hair, and TMJ, what are you looking for?
What are the two major anatomical compartments/spaces of the neck?
Associated w/ what condition(s)?
Hyperthyroid facies, goiter, graves dz
What approach should we use for palpating the thyroid? What are you checking by palpating the thyroid?
Locate thyroid from in front, palpate from behind
Checking for size, shape, symmetry, consistency, presence of nodules, movement
What is being shown on L? R?
L: Pseudostrabismus
R: Fat collections, venous nicking, cotton wool spots (diabetic pt)
What are some of the things you inspect/palpate the scalp for?
Additionally, palpate for step off fractures
What are the three paired glands?
Parotid, submandibular, sublingual
Don’t forget bimanual palpation
What is Weber’s test?
Louder in one side = conductive loss on the ipsilateral side or SNHL (Sensorineural hearing loss) on the contralateral side
What aspects of the eye should you inspect?
What do you inspect the nose and sinus for?
ID these regions and landmarks on the face
What can excessive massage of the carotid pulse result in?
Decrease in BP or slow pulse
