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Clinical Assessment > HEENT Checklist > Flashcards

HEENT Checklist Flashcards

1
Q

Apparent state of health (2)

A

Fit, frail

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2
Q

Level of consciousness (2)

A

Alert, oriented

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3
Q

Signs of distress (2)

A

Labored breathing, seems anxious

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4
Q

Dress & grooming (2)

A

Clothing appropriate to weather, nails scrubbed

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5
Q

Facial expression (2)

A

Appropriate to convo, good eye contact

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6
Q

Breath and body odors (2)

A

No odors detected, smell of EtOH

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7
Q

Posture, gait, & motor activity (2)

A

No tics, no fidgets

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8
Q

Body habitus (2)

A

Morbidly obese, muscular

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9
Q

Pulse. What to assess for?

A

Rate, rhythm, contour, amplitude

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10
Q

Respirations. What to assess for?

A

Rate, rhythm, depth, effort

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11
Q

Hair and scalp (4)

A

Texture, nits, alopecia, lesions

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12
Q

Skull (3)

A

Contour, tenderness, deformity

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13
Q

Face (4)

A

Asymmetry, edema, masses, lesions

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14
Q

Eyebrows (2)

A

Sparseness, scales

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15
Q

Eyelids (2)

A

Edema, lesions

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16
Q

Conjunctiva and sclera (2)

A

Erythema, icterus

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17
Q

Cornea and lens(2) with oblique lighting

A

Clarity, shadows

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18
Q

Bony orbit (2)

A

Tenderness, trauma

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19
Q

Visual acuity CN

A

CN II

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20
Q

Visual field CN

A

CN II

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21
Q

Extraocular muscles CN

A

CN III, IV, VI

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22
Q

Pupillary reaction CN

A

CN II, III

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23
Q

Fundoscopic CN

A

CN II

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24
Q

Fundoscopic (4)

A

A-V nicking, cotton wool, hemorrhage, disc margins

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25
Q

Test for visual acuity

A

Handheld chart (verbalized that you would check each eye separately). Note the use of corrective lenses

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26
Q

Test for visual fields

A

Confrontation. Wiggling fingers

Verbalized you’d test each eye separately & perform kinetic red target test

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27
Q

Test extraocular muscles

A

H pattern w finger

Test convergence

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28
Q

Test for pupillary reaction

A

Occlude light at bridge of nose

Near reaction

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29
Q

How to hold fundiscope

A

Perform bilaterally. Use right hand and right eye for patients right eye

30
Q

External ear (4)

A

Deformity, nodules, erythema, edema

31
Q

Ear canal (4) speculum

A

Discharge, foreign objects, cerumen, blood

B/L

32
Q

Tympanic membrane (4)

A

Erythema, landmarks visible, bubbles, cone of light

B/L

33
Q

Ear otoscope technique

A

Braced, held like pencil, right hand with right right ear

34
Q

Auditory acuity CN

A

CN VIII

35
Q

Auditory acuity test

A

Finger rub. Pt closes eyes, occludes opposite ear. Ask if they hear the rubbing prior to testing. Ask pt to let you know when they can’t hear it anymore

B/L

36
Q

Weber test for lateralization

A

Base of vibrating tuning fork mid center on top of head. Ask pt where they hear the sound

37
Q

Rinne test AC vs BC

A

Tuning fork on mastoid, can they hear it and when does it stop. Place “U” facing forward. Can they still hear

BL

38
Q

External nose (4)

A

Deformity, obstruction, bleeding, lesions

39
Q

External nose exam

A

Palpate the entire length

Occlude each nostril And ask pt to inhale

40
Q

Internal nose (4)

A

Color, edema, bleeding, lesions

B/L

41
Q

What should you do after internal nose?

A

Palpate maxillary and frontal sinuses B/L

42
Q

Lips (3)

A

Color, pigment, moisture

43
Q

Gums (3)

A

Color, hypertrophy, recession

44
Q

Teeth (3)

A

Dentures, caries, absent

45
Q

Buccal mucosa (3)

A

Color, ulcers, nodules

46
Q

Tongue (3)

A

Color, texture, lesions

47
Q

Protrude tongue CN

A

CN XII

48
Q

Hard palate (3)

A

Color, architecture, cleft

49
Q

Soft palate, pillars, tonsils, pharynx (4)

A

Color, symmetry, edema, ulcers

50
Q

Observe uvula CN

A

CN X

51
Q

When inspecting the internal oral cavity you should…

A

Use a light!

52
Q

Cervical lymph nodes order

B/L and simultaneously. Did this hurt?!!

A 
Pre-auricular
Post-auricular
Occipital 
Tonsillar
Submandibular
Submental
Superficial 
Posterior
Deep
Supraclavicular
53
Q

Tonsillar node location

A

At the angle of mandible

54
Q

Superficial node location

A

Cervical region superficial to sternomastoid (must palpate entire length of SM anteriorly)

55
Q

Posterior node location

A

Along the anterior edge of trapezius

56
Q

Deep node location

A

Deep to SM. hook thumb and fingers around either side of the SM

57
Q

What should you inspect after lymph nodes

A

Thyroid. Anterior and posterior w neck flexed forward

58
Q

Skin (2)

A

Color and hair distribution

59
Q

Skin lesions (4)

A

Size, shape, configuration, and color

60
Q

Nevi assessment

A 
Asymmetry
Borders
Color
Diameter
Evolution
61
Q

What to verbalize as you palpate skin

A

Temperature, texture, moisture, mobility and turgor

62
Q

Nails (4)

A

Shape, clubbing, color, pitting

63
Q

Tests for the nails

A

Capillary refill B/L index finger and great toe

64
Q

Order of GS

A 
Apparent state of health
Level of consciousness
Signs of distress
Dress and grooming
Facial expression
Breath and body odors
Posture, gait, motor activity
Body habitus
65
Q

Order of vitals

A

Pulse
Respirations
BP

66
Q

Order of head

A

Hair and scalp
Skull
Face

67
Q

Order of eyes

A 
External
Visual acuity
Visual field
E.O. Muscles
Pupillary reaction
Fundoscopic
68
Q

Order for ears

A

External
Canal
Specials (2- auditory acuity, weber and rinne)

69
Q

Order for nose

A

External
Internal
Sinuses

70
Q

Order for oral cavity

A 
Lips
Gums
Teeth
Buccal mucosa
Tongue
Hard palate
Soft palate, pillars, tonsils, pharynx
71
Q

OVERALL MAJOR ORDER

A 
General survey
Vitals
Head
Eyes
Ears
Nose & sinuses
Oral cavity
Cervical lymph nodes
Thyroid
Skin
Nails

Clinical Assessment (3 decks)

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