HEENT examination - AbsoluteAstronomy.com

A HEENT examination is a portion of a physical examination

Physical examination

Physical examination or clinical examination is the process by which a doctor investigates the body of a patient for signs of disease. It generally follows the taking of the medical history — an account of the symptoms as experienced by the patient...

; it principally concerns the Head, Ears, Eyes, Nose and Throat.

Components of the exam may include:

Steps

IPPA
IPPA
IPPA is a term used to describe the four main steps of physical examination: inspection, palpation, percussion, and auscultation.Although the steps are consistent across organ systems, the order may vary. Notably, for the abdominal exam, auscultation is performed before palpation, because the act...
- Inspection of scars or skin changes
- Palpation of temporomandibular joint
  Temporomandibular joint
  The temporomandibular joint is the joint of the jaw and is frequently referred to as TMJ. There are two TMJs, one on either side, working in unison. The name is derived from the two bones which form the joint: the upper temporal bone which is part of the cranium , and the lower jaw bone called the...
  
  , thyroid
  Thyroid
  The thyroid gland or simply, the thyroid , in vertebrate anatomy, is one of the largest endocrine glands. The thyroid gland is found in the neck, below the thyroid cartilage...
  
  , and lymph nodes
- Percussion may involve the skin above the frontal sinuses
  Frontal sinus
  Sinuses are mucosa-lined airspaces within the bones of the face and skull. The frontal sinuses, situated behind the superciliary arches, are absent at birth, but are generally fairly well developed between the seventh and eighth years, only reaching their full size after puberty...
  
  and paranasal sinuses to detect any signs of pain
- Auscultation for carotid bruits
Tests specific to HEENT examation
- Eyes: eye examination and acuity (including ophthalmoscope)
- Ears: hearing examination and evaluation of tympanic membrane (otoscope
  Otoscope
  thumb|right|200px|Otoscope - Image of an otoscope thumb|200px|Anatomy of the human ear.thumb|200px|Right tympanic membrane as seen through a speculum.An Otoscope or auriscope is a medical device which is used to look into the ears...
  
  used in evaluation of ears, nose, and mouth)

A neurologic examination is usually considered separate from the HEENT evaluation, though there can be some overlap.

Sample writeup

Category	Item	Sample text
Head Human head In human anatomy, the head is the upper portion of the human body. It supports the face and is maintained by the skull, which itself encloses the brain.-Cultural importance:...		"NC/AT" or "Normocephalic Normocephalic Normocephalic is a medical term referring to a person whose head and all major organs of the head are in a normal condition and without significant abnormalities.See Physical examination.... , atraumatic"
Eyes	opthalmoscope	"EOM Extraocular muscles The extraocular muscles are the six muscles that control the movements of the eye . The actions of the extraocular muscles depend on the position of the eye at the time of muscle contraction.-List of muscles:-Importance:... intact, EOMI, PERRLA PERRLA Perrla: Pupils equal, round & reactive to light & accommodationAccording to several articles Perrla is no longer used. Doctors don't find it valuable . According to Levin there are perils to using Perrla... , anicteric, no injection Injection Injection or Injected may refer to:* Injection , insertion of liquid into the body with a syringe* Injective function in mathematics, a function mapping distinct arguments to distinct values... , fundus Fundus (eye) The fundus of the eye is the interior surface of the eye, opposite the lens, and includes the retina, optic disc, macula and fovea, and posterior pole. The fundus can be viewed with an ophthalmoscope. The term may also be inclusive of Bruch's membrane and the choroid.The color of the fundus varies... WNL, no papilledema Papilledema Papilledema is optic disc swelling that is caused by increased intracranial pressure. The swelling is usually bilateral and can occur over a period of hours to weeks. Unilateral presentation is extremely rare.... "
Nose Human nose The visible part of the human nose is the protruding part of the face that bears the nostrils. The shape of the nose is determined by the ethmoid bone and the nasal septum, which consists mostly of cartilage and which separates the nostrils...	otoscope Otoscope thumb\|right\|200px\|Otoscope - Image of an otoscope thumb\|200px\|Anatomy of the human ear.thumb\|200px\|Right tympanic membrane as seen through a speculum.An Otoscope or auriscope is a medical device which is used to look into the ears...	"No congestion Congestion Congestion generally means excessive crowding.Congestion may refer to:* congestion in heart failure, a term to describe low cardiac output seen in heart failure.* Nasal congestion, the blockage of nasal passages due to swollen membranes... "
Ear Ear The ear is the organ that detects sound. It not only receives sound, but also aids in balance and body position. The ear is part of the auditory system.... s	otoscope Otoscope thumb\|right\|200px\|Otoscope - Image of an otoscope thumb\|200px\|Anatomy of the human ear.thumb\|200px\|Right tympanic membrane as seen through a speculum.An Otoscope or auriscope is a medical device which is used to look into the ears...	"TM Eardrum The eardrum, or tympanic membrane, is a thin membrane that separates the external ear from the middle ear in humans and other tetrapods. Its function is to transmit sound from the air to the ossicles inside the middle ear. The malleus bone bridges the gap between the eardrum and the other ossicles... intact, noninflammed"
Throat Throat In vertebrate anatomy, the throat is the anterior part of the neck, in front of the vertebral column. It consists of the pharynx and larynx...	otoscope Otoscope thumb\|right\|200px\|Otoscope - Image of an otoscope thumb\|200px\|Anatomy of the human ear.thumb\|200px\|Right tympanic membrane as seen through a speculum.An Otoscope or auriscope is a medical device which is used to look into the ears...	"Oropharynx Oropharynx The Oropharynx reaches from the Uvula to the level of the hyoid bone.It opens anteriorly, through the isthmus faucium, into the mouth, while in its lateral wall, between the two palatine arches, is the palatine tonsil.... WNL" or "no erythema Erythema Erythema is redness of the skin, caused by hyperemia of the capillaries in the lower layers of the skin. It occurs with any skin injury, infection, or inflammation... or exudate Exudate An exudate is any fluid that filters from the circulatory system into lesions or areas of inflammation. It can apply to plants as well as animals. Its composition varies but generally includes water and the dissolved solutes of the main circulatory fluid such as sap or blood... "
Mouth Mouth The mouth is the first portion of the alimentary canal that receives food andsaliva. The oral mucosa is the mucous membrane epithelium lining the inside of the mouth....	otoscope Otoscope thumb\|right\|200px\|Otoscope - Image of an otoscope thumb\|200px\|Anatomy of the human ear.thumb\|200px\|Right tympanic membrane as seen through a speculum.An Otoscope or auriscope is a medical device which is used to look into the ears...	"Moist mucous membrane Mucous membrane The mucous membranes are linings of mostly endodermal origin, covered in epithelium, which are involved in absorption and secretion. They line cavities that are exposed to the external environment and internal organs... s, no thrush Thrush -Birds:* Thrush , any of the many birds in the Turdidae family* Antthrush, any of a group of birds within the Formicariidae family* Dohrn's Thrush-babbler , a species of bird in the Timalidae family... , no vesicles, no lesion Lesion A lesion is any abnormality in the tissue of an organism , usually caused by disease or trauma. Lesion is derived from the Latin word laesio which means injury.- Types :... s, good dentition Dentition Dentition pertains to the development of teeth and their arrangement in the mouth. In particular, the characteristic arrangement, kind, and number of teeth in a given species at a given age... "
Neck Neck The neck is the part of the body, on many terrestrial or secondarily aquatic vertebrates, that distinguishes the head from the torso or trunk. The adjective signifying "of the neck" is cervical .-Boner anatomy: The cervical spine:The cervical portion of the human spine comprises seven boney...		"No LAD Lymphadenopathy Lymphadenopathy is a term meaning "disease of the lymph nodes." It is, however, almost synonymously used with "swollen/enlarged lymph nodes". It could be due to infection, auto-immune disease, or malignancy.... , thyroid WNL, neck supple" (JVD Jugular venous pressure The jugular venous pressure is the indirectly observed pressure over the venous system... and bruit Bruit Bruit is the term for the unusual sound that blood makes when it rushes past an obstruction in an artery when the sound is auscultated with the bell portion of a stethoscope.The term "bruit" simply refers to the sound... may be reported here or in CV)

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