HEENT examination
A HEENT examination is a portion of a physical examination[1] that principally concerns the head, eyes, ears, nose, and throat.[2]
Steps
- IPPA
- Inspection of scars or skin changes
- Palpation of lymph nodes
- Percussion may involve the skin above the frontal sinuses and paranasal sinuses to detect any signs of pain
- Auscultation for carotid bruits
- Tests specific to HEENT examination
- Eyes: eye examination and acuity (including ophthalmoscope)
- Ears: hearing examination and evaluation of tympanic membrane (TM) (otoscopeused in evaluation of ears, nose, and mouth)
- Eyes: eye examination and acuity (including
A neurological examination is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases.
Sample write-up
Category | Item | Sample text |
---|---|---|
Head | "NC/AT" or "Normocephalic, atraumatic" | |
Eyes
|
ophthalmoscope
|
"" |
Ears | otoscope | "TM intact, noninflamed" |
Nose | otoscope | "No congestion" |
Throat | otoscope | "" |
Mouth | otoscope | "Moist " |
Neck | "No LAD, thyroid WNL, neck supple" (JVD and bruit may be reported here or in CV) |
References
- ISBN 978-0-521-54259-3. Retrieved 6 March 2011.
- ISBN 9780831808174. Retrieved 18 January 2018.