HEENT Flashcards
Head inspection
- symmetry
- size
- shape, etc
Hair - scaliness
- erythema
- lesions/nodules
Ear - external inspection
- external auditory canal, pinna, and tragus
- position and shape
- symmetry
- lesions
- ear drainage
External ear possible findings
tophi: deposits of uric acid crystals (gout)
- cauliflower ear: repeated damage causes cartilage necrosis
- Chondritis: infection of cartilage (piercings)
- otitis externa: swimmers ear
Ear - otoscope procedure
- adult: lift auricle up, out, and back
- child: pull auricle down and back
- straightens canal
Middle ear possible findings
- mobility, cone of light intact
- bulging, no mobility (pus) - otitis media
- retracted, no mobility - eustachian tube dysfunction
Weber hearing test
- conductive or sensorineural hearing loss
- normal: heard in both ears
- conductive: sound in poor ear
- sensoineural: sound in good ear
tuning fork on forehead
Rinne hearing test
- compares air and bone conduction hearing
- normal: air-conduction twice as long as bone
- conductive hearing loss: bone = air
tuning fork to mastoid bone and then 1 cm away from ear
Possible eye findings upon visual inspection
Ptosis: upper lid covers part of pupil
Hordeolum: sty, inflammation of sebaceous gland
Snellen chart
stand 6 feet away cover right eye, read forward cover left eye, read backward read with both eyes - testing CN II - optic nerve
Pupillary response
Direct: pupil constricts with light stimulus
Indirect: pupil constricts without light stimulus
accomodation
pts follows your finder as you bring it to their nose
EOM: extraocular muscles, H-test
asses all directions of gaze
Visual fields
wiggle fingers to assess peripheral vision
nose
palpate sinuses for tenderness
percuss for tenderness
Lymph node locations
- preauricular
- posterior auricular
- submandibular
- submental
- anterior cervical chain
- posterior cervical chain
- supraclavicular
- infraclavicular
