HEENT exam Flashcards
inspect head and neck
palpate the cervical lymphnodes, which ones will be palpated ?
what are you noticing
Use pads of index and middle finger
Palpate gently in circular motion
Patient’s neck slightly flexed forward
Note lymph node size, shape, delimitation (discrete or matted), mobility, consistency, tenderness
Note any overlying skin changes
normal vs abnormal lymph node
Important Points for lymph nodes :
Bilateral diffuse involvement –>
Tender —->
Hard/fixed –>
Bilateral diffuse involvement –> Systemic malignancy (Lymphoma)
Tender —->Likely inflammatory or infection
Hard/fixed –>Malignancy
anterior vs posterior thyroid approach
examine for_____________
If thyroid gland is enlarged,_________________
Examine thyroid gland (size, shape, and consistency).
normal should feel muscle
If thyroid gland is enlarged, place stethoscope over it and listen for bruit***
normal vs abnormal thyroid feeling
if thyroid is enlarged, then do the ________
how to perform a trachea exam?
What can cause tracheal deviation?
Mass
Large pleural effusion
Tension pneumothorax
Lobar collapse
Pulmonary fibrosis
what is the trail sign ?
what to do for an eye exam?
how to test for visual acuity and what nerve are you testing
cranial nerve 2
visual fields and what nerve are you testing
color vision
Eye Position & Alignment
what are you looking for?
Inspect eye position and alignment
Look for protrusion of eyes
Look for abnormalities in eye movement
Look for deviation the globe position
Inspect eyebrows, eyelids & eyelashes
what are you noting
Eye Exam: Assess Lacrimal Apparatus
what are you noting
Eye Exam: Inspect Conjunctivae and Sclerae
what to note
abnormalities?
Eye Exam: Inspection of Cornea, Iris, Lens, & Pupil
what to look for ??
large pupil vs small
Eye Exam: Pupillary Reaction to Light
how do you do it
what are you noting
Eye Exam: Extraocular Muscle Movements
what are you noting for ?
testing cranial nerve 3
