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Clinical Assessment > HEENT Checklist > Flashcards

HEENT Checklist Flashcards

(71 cards)

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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
Test for visual acuity
Handheld chart (verbalized that you would check each eye separately). Note the use of corrective lenses
26
Test for visual fields
Confrontation. Wiggling fingers | Verbalized you'd test each eye separately & perform kinetic red target test
27
Test extraocular muscles
H pattern w finger | Test convergence
28
Test for pupillary reaction
Occlude light at bridge of nose Near reaction
29
How to hold fundiscope
Perform bilaterally. Use right hand and right eye for patients right eye
30
External ear (4)
Deformity, nodules, erythema, edema
31
Ear canal (4) speculum
Discharge, foreign objects, cerumen, blood B/L
32
Tympanic membrane (4)
Erythema, landmarks visible, bubbles, cone of light B/L
33
Ear otoscope technique
Braced, held like pencil, right hand with right right ear
34
Auditory acuity CN
CN VIII
35
Auditory acuity test
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
Weber test for lateralization
Base of vibrating tuning fork mid center on top of head. Ask pt where they hear the sound
37
Rinne test AC vs BC
Tuning fork on mastoid, can they hear it and when does it stop. Place "U" facing forward. Can they still hear BL
38
External nose (4)
Deformity, obstruction, bleeding, lesions
39
External nose exam
Palpate the entire length Occlude each nostril And ask pt to inhale
40
Internal nose (4)
Color, edema, bleeding, lesions B/L
41
What should you do after internal nose?
Palpate maxillary and frontal sinuses B/L
42
Lips (3)
Color, pigment, moisture
43
Gums (3)
Color, hypertrophy, recession
44
Teeth (3)
Dentures, caries, absent
45
Buccal mucosa (3)
Color, ulcers, nodules
46
Tongue (3)
Color, texture, lesions
47
Protrude tongue CN
CN XII
48
Hard palate (3)
Color, architecture, cleft
49
Soft palate, pillars, tonsils, pharynx (4)
Color, symmetry, edema, ulcers
50
Observe uvula CN
CN X
51
When inspecting the internal oral cavity you should...
Use a light!
52
Cervical lymph nodes order B/L and simultaneously. Did this hurt?!!
``` Pre-auricular Post-auricular Occipital Tonsillar Submandibular Submental Superficial Posterior Deep Supraclavicular ```
53
Tonsillar node location
At the angle of mandible
54
Superficial node location
Cervical region superficial to sternomastoid (must palpate entire length of SM anteriorly)
55
Posterior node location
Along the anterior edge of trapezius
56
Deep node location
Deep to SM. hook thumb and fingers around either side of the SM
57
What should you inspect after lymph nodes
Thyroid. Anterior and posterior w neck flexed forward
58
Skin (2)
Color and hair distribution
59
Skin lesions (4)
Size, shape, configuration, and color
60
Nevi assessment
``` Asymmetry Borders Color Diameter Evolution ```
61
What to verbalize as you palpate skin
Temperature, texture, moisture, mobility and turgor
62
Nails (4)
Shape, clubbing, color, pitting
63
Tests for the nails
Capillary refill B/L index finger and great toe
64
Order of GS
``` 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
Order of vitals
Pulse Respirations BP
66
Order of head
Hair and scalp Skull Face
67
Order of eyes
``` External Visual acuity Visual field E.O. Muscles Pupillary reaction Fundoscopic ```
68
Order for ears
External Canal Specials (2- auditory acuity, weber and rinne)
69
Order for nose
External Internal Sinuses
70
Order for oral cavity
``` Lips Gums Teeth Buccal mucosa Tongue Hard palate Soft palate, pillars, tonsils, pharynx ```
71
OVERALL MAJOR ORDER
``` General survey Vitals Head Eyes Ears Nose & sinuses Oral cavity Cervical lymph nodes Thyroid Skin Nails ```

Clinical Assessment (3 decks)

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