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Physical Exam > HEENT Exam > Flashcards

HEENT Exam Flashcards

1
Q

Introduce as PA Student _____

A

Good Afternoon I’m PA Student Hudson

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2
Q

Inspect head and face for injury (while standing in front)

A

(Are you having any issues with this area?)

Head is normocephalic there are no lesions or areas of ecchymosis erythema, or swelling.

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3
Q

Palpate cranium, mastoid, temporal artery, face. Say, “Are you having any tenderness in this area?”

A

There are no masses or tenderness elicited. The temporal artery is non tender.

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4
Q

Inspect hair distribution. Palpate hair and scalp.

A

Symmetrical hair distribution with normal texture. hair and scalp are without scaling, lesions, infestation, or tenderness.

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5
Q

Inspect and Palpate parotid glands.

A

Parotid glands are without nodules or irregularity.

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6
Q

Inspect TMJ by applying pressure and asking pt to open and close mouth. Palpate for crepitus. Palpate temporal and master separately.

A

TMJ is non tender without swelling.

Symmetric motor function of cranial nerve 5.

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7
Q

Tell pt to close eyes, you will touch their forehead cheek and jaw. Ask them where they feel the sensation.

A

No sensory deficit of cranial nerve 5.

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8
Q

Ask pt to shut eyes tight, Open them, raise eyebrows, relax. Ask pt to puff out cheeks and not let you push down.

A

Symmetric motor function of cranial nerve 7.

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9
Q

EYE

Give pt visual card and check visual acuity. both then right then left read in opposite ways.

A

Visual acuity is 20/20 OD/OS/OU.

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10
Q

Inspect brown lashes and lids.

A

No exophthalmos, ptosis, periorbital discoloration, skin lesions, or edema.

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11
Q

Inspect and Regurge Lacrimal ducts.

A

No swelling or regurgitation.

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12
Q

Inspect conjunctiva sclera and cornea. Pull eye down and tell pt to look up and left and right. Pull eye lids up to see superior sclera.

A

No injection, icterus, lesions edema, or foreign bodies. Cornea is clear.

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13
Q

Check anterior eye chamber shine light at lateral aspect bilaterally. While standing in front.

A

No crescent shadow noted.

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14
Q

Shine light in left eye ( see constriction ) Shine light in right eye (looking at left) still see constriction.
Same in other eye.

A

Pupils are equal round and reactive to light.

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15
Q

Shine light in one eye, see dilation. Shine light to other eye quick, keep light on second eye 3 seconds.
Repeat 2-3 times.

A

No RAPD.

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16
Q

Stand in front of pt and shine pen light at nose tell them to look at your nose. Observe equal light reflection.

Have Pt. Perform cover uncover test.

A

No tropia.

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17
Q

Have pt follow conjugate eye movements in H pattern.

A

Extraocular movements are full and equal.

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18
Q

Shift finger in towards pats nose after the H.

A

“eyes converge equally and pupils constrict with near focus”

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19
Q

Have pt look at your chin. Perform 3 movements with finger to elicit peripheral vision.

A

”visual fields are full and equal by confrontation”

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20
Q

Get Otto scope. Brace finger on pt. Use same eye as pt to visualize fundus. Inspect for red reflex.

A

Red reflex is present.

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21
Q

Inspect for clarity of cornea, move in to focus.

A

“cornea, ant. chamber, lens, and vitreous are clear”

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22
Q

Inspect disc and cup.

A

Disc color is pink. Margins are sharp cup to disc ratio is 1/2.

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23
Q

Check all 4 Retinal quads.

A

AV Ratio is 2/3 without nicking or spasms

24
Q

Inspect fundus.

A

“no hemorrhages or exudates”

25
Q

Ask pt to look directly into light. Inspect Macula.

A

Macula is without lesions.

26
Q

EAR

Inspect Auricles

A

no lesions or tenderness of the auricles

27
Q

Palpate Tragus bilaterally, “Any tenderness here?”

A

Tragus are non tender

28
Q

Inspect and then palpate Mastoid. “Any tenderness here?”

A

No mastoid discoloration swelling, or tenderness

29
Q

Inspect ear canal condition with otoscope.

A

No swelling redness or obstruction. Check both ears.

30
Q

Inspect TM for landmarks and appearance.

A

“TM is pearly gray and translucent; light reflex is in ant. inf. quadrant; landmarks are undistorted”

31
Q

Inspect for fluid in ear.

ASK pt to perform Valsava.

A

“there is no visible evidence of fluid in the middle ear”

“TM’s are mobile.”

32
Q

Ask pt to close eyes. Whisk fingers together. On left right and both.

A

No unilateral defects.

33
Q

Weber Test. Ask which ear they hear the noise in, BOTH.

A

Weber test is midline.

34
Q

Rinne Test. Mastoid then ear then your OWN ear.

A

Ac>BC Bilaterally

35
Q

NOSE

Inspect external general nose appearance.

A

Nose is midline without lesions.

36
Q

Test for patency, ask pt to close one nostril and blow and the other.

A

“Nasal passageways are patent.”

37
Q

Have PT close eyes. Test each nostril with two different scents.

A

Do defect of olfactory nerve.

38
Q

Hand braced ask pt to tilt head back. Inspect septum, turbinates,, septal floor. Inspect for discharge.

A

“mucosa is pink and moist without lesions” or other appropriate description

39
Q

Palpate maxillary and frontal sinuses.

A

No maxillary or frontal sinus tenderness.

40
Q

ORAL CAVITY

Inspect lips.

A

Lips are pink and moist without ulcers or cracking.

41
Q

USE LIGHT SOURCE< and inspect oropharyngeal mucosa for color ulcers, white patches or nodules.

A

“oral mucosa is pink and without ulcers or other lesions”

42
Q

Inspect gingiva w/ LIGHT SOURCE

A

No lesions, swelling, or discoloration on gingiva.

43
Q

Grab tongue scraper, percuss teeth.

A

“teeth are in good repair, non-tender with good oral hygiene”

44
Q

Acknowledge breathe odor.

A

Would evaluate and note no abnormal breathe odor.

45
Q

inspect tonsils ad uvula with light source, have pt say ahhhhhhhhhhhh

A

Tonsils are size 1 and equal with midline uvula; no exudate or lesions.

“uvula and soft palate rise symmetrically”

46
Q

GAG Reflex.

A

Gag reflex active.

47
Q

(Grab gauze)

Have pt protrude tongue and
inspect using GAUZE.

A

Tongue is midline with protrusion.

No apparent discoloration or lesions noted.

48
Q

Bimanual mass exam around entire mouth and check both ducts.

A

“there are no stones, masses or areas of induration.”

49
Q

NECK

Inspect anterior and posterior neck.

A

No lesions swelling or discoloration.

50
Q

Inspect and palpate trachea for mobility.

A

Trachea is midline and mobile.

51
Q

Palpate all 10 lymph nodes. “Please let me know if you feel any tenderness in these areas.”

A 
occipital, 
post auricular, 
preauricular, 
submental, 
submandibular, 
tonsillar, 
anterior cervical, 
deep cervical, 
posterior cervical, and supraclavicular nodes.                        No lymphadenopathy noted.
52
Q

Inspect thyroid. Then palpate on posterior approach. Have patient swallow after palpating and note symmetry of movement.

A

“thyroid is normal size, shape, and consistency without nodules or tenderness”

53
Q

Test active range of motion.

A

flexion, extension, rotation and lateral bend. “Neck is supple.”

54
Q

Test shoulder shrug and head rotation.

A

“strength is [5/5] and symmetric”

55
Q

“my examination is complete.” !!!!!!!!

A

YASSSSS BIHHHHHHH.

Physical Exam (1 decks)

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