HEENT

Question 1

Pertinent PMH for head

Answer 1

Past cranial injury
Loss of consciousness
Headaches
Seizures
Vision changes

Question 2

Syncope

Answer 2

Loss of consciousness/fainting

Question 3

Pertinent family history for head

Answer 3

Seizure disorder

Migraines

Question 4

Psychosocial history for head

Answer 4

Contact sports
Cycling
Skateboarding
Rollerblading
Helmet use

Question 5

Environmental history for head

Answer 5

Hazards

Hard hat use

Question 6

System specific history for eyes

Answer 6

Pain, burning, itching, tearing, crusting
Blurred vision
Double vision
Photophobia
Floaters, flashing, halos
Medications
Correction

Question 7

Diplopia

Answer 7

Double vision

Question 8

Pertinent PMH for eyes

Answer 8

Diabetes
Hypertension
Glaucoma
Retinopathy
Cataracts
Macular degeneration
Eye trauma/surgery
Exams, ophthalmology, optometry

Question 9

Family history for eyes

Answer 9

Eye diseases
Diabetes
Hypertension

Question 10

Psychosocial history for eyes

Answer 10

Anything requiring safety glasses

Question 11

Environmental history for eyes

Answer 11

Anything causing eye strain or requiring eye protection

Question 12

System specific history of ears

Answer 12

Pain, itching, discharge, vertigo, tinnitus
Changes
Ototoxic meds
Behaviors indicating loss

Question 13

Vertigo

Answer 13

Dizziness

Question 14

Tinnitus

Answer 14

Ear ringing

Question 15

Pertinent PMH for ears

Answer 15

Aspirin and ototoxic drug use
Trauma
Hearing loss
Aid use

Question 16

PMH for ears in children

Answer 16

Meningitis
Low birth weight (<15000g)
Congenital abnormalities
Intrauterine infections (rubella, herpes)
Maternal drug use
Elevated bilirubin

Question 17

PMH for ears in adults

Answer 17

Meniere’s disease

Neurodegeneration

Question 18

Environmental history for ears

Answer 18

Noise exposure

Earphone volume

Question 19

System specific history for nose

Answer 19

Discharge
Congestion
Postnasal drip
Sneezing
Epistaxis
Snoring
Sprays/drops

Question 20

Epistaxis

Answer 20

Nose bleed

Question 21

Pertinent PMH for nose

Answer 21

Trauma/surgery
Allergies
Discharge, epistaxis
Snoring, trouble breathing

Question 22

Psychosocial history for nose

Answer 22

Illicit drug use (nasal cocaine)

Question 23

Environmental history for nose

Answer 23

Outdoor work

Question 24

Family history for nose

Answer 24

Allergies

Question 25

System specific history for oral cavity

Answer 25

``` Pain, lesions, discoloration of mucosa Taste alteration Dysphagia Denture fit Oral hygiene ```

Question 26

Pertinent PMH for oral cavity

Answer 26

Dental disease/surgery | Oral trauma

Question 27

Psychosocial history for oral cavity

Answer 27

Poor dental hygiene SES Educational level Tobacco, alcohol

Question 28

Ptosis

Answer 28

Drooping of eyelid

Question 29

Sclera

Answer 29

White outer layer of eyeball

Question 30

Conjunctiva

Answer 30

Thin mucous membrane that covers the eye and lines the eyelid

Question 31

Bulbar conjunctiva

Answer 31

Mucous membrane that covers the eye

Question 32

Palpebral conjunctiva

Answer 32

Conjunctiva lining the eyelid

Question 33

PERRLA

Answer 33

Pupils Equal Round Reactive to Light, Accommodation intact

Question 34

Nystagmus

Answer 34

Rapid involuntary movement of eyes

Question 35

Cerumen

Answer 35

Ear wax

Question 36

Caries

Answer 36

Tooth decay

Question 37

Vision interventions

Answer 37

``` Large print Utensils/items close by Lighting Uncluttered Therapeutic touch ```

Question 38

Hearing interventions

Answer 38

``` Eliminate extraneous noise Speak slowly Face client No gum Use expressions ```