HEENT Flashcards
Subjective Data
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Visual Acuity
Use the Card to test for vision
Head
Examines scalp
Palpates skull
Notes hair distribution on head
Face
Symmetry
Assess expression on face
inspect for involuntary movement
Notes for: edema, lesions, masses
Eyes
Inspects eyebrows
Inspects eyelashes
Inspects eyelids
Assesses palpebral fissures
Assesses eyeballs
Inspects conjunctive
Inspects sclera
Assesses punta for patency
Palpates lacrimal gland
Sinuses
Maxillary (percussion or palpation)
Frontal (percussion or palpation
Anterior Eye
Assess cornea for clarity & cloudiness
Assess iris for shape, color, symmetry
Pupils - Visual Fields - EOM
Measures pupil size bilaterally
Comments on pupil equality
assesses direct light reflex
Assesses consensual light reflex
Assesses accommodation
Performs visual fields by confrontation
Assesses EOM - 6 cardinal directions
Nose
Inspects for symmetry and notes if septum is midline
Inspects for lesions (external)
Inspects nasal mucosa
Reports absence/presence of internal lesions
Assesses nares bilaterally for potency
Lymph Nodes
Pre- auricular
Posterior auricular
Occipital
Tonsillar
Submandibular
Anterior cervial
Posterior cervical
deep cervical chain
Supraclavicular
External Ear
Inspects for size, shape
Inspects for presence/ absence of assistive devices
Palpates pinna for tenderness
palpates tracks for tenderness
External Meatus
Assess for swelling, discharge, lesions
Mouth and Throat
Inspects lips
Inspects teeth and notes findings
Inspects gums
Inspects tongue (ventral and dorsal aspects)
Inspects buccal mucosa
Inspects hard and soft palate
Notes uvula location (midline)
Inspects tonsils for symmetry
Grades tonsils
Assesses tonsils for erythema and exudate
Assesses posterior pharynx for cobblestoning/ post-nasal drip
Neck
Inspects for Symmetry, edema, lesions
Ausculates carotids for bruits using bell
Palpates carotids (unilaterally) and grades (bilaterally)
Otoscope Exam
Inspects external canal with otoscope
Notes presence of cerumen (location, color, quantity)
Assesses tympanic membrane color (Pearly gray)
Notes visualization of cone of light and location ( Left, Right)
Notes convexity and integrity of tympanic membrane
