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Flashcards in HEENT Exam Deck (10):
1

General components of HEENT Exam

1. Head/scalp: Inspect
2. Face: Inspect, palpate
3. Nose: Inspect, Otoscope
4. Ears: Insepct, Palpate, Evaluate, Otoscope
5. Mouth/throat: Inspect, palpate
6. Neck: Inspect, palpate
7. Lymph nodes

2

Head/scalp exam

Inspect:
 Skull shape, symmetry
 Hair distribution, texture
 Scalp for lesions

3

Facial exam

Inspect:
 Symmetry, deformity
 Skin
 Hair distribution
 Areas of swelling
Palpate:
 Tenderness (including sinuses)
 Temporomandibular joint tenderness, crepitus
 Temporal arteries for pulses, tenderness, thickening

4

Nose exam

Inspect:
 Symmetry
 Deviations
 Discharge
 Skin lesions
Inspect using Otoscope:
 Mucosa for color, masses, lesions, exudates, bleeding
 Septum for color, masses, lesions, perforations, deviation

5

Ear exam

Inspect:
 External ear alignment, surface characteristics, symmetry
 Mastoid area and area behind auricle
Palpate:
 Auricle
 Mastoid process
Evaluate:
 Gross hearing with whisper test or ticking watch test
 Conductive vs. neural hearing with Weber and Rinne tests
Inspect Using Otoscope:
 Auditory canal for redness, swelling, discharge/cerumen, color
 Tympanic membrane for color, landmarks, light reflex, mobility

6

Mouth/throat exam

Inspect:
 Lips for swelling, color, lesions
 Teeth for caries, missing teeth, appliances
 Gums for color, swelling, inflammation
 Mucous membranes for color lesions, and salivary duct openings
 Tongue for lesions, contour, movement (including under the tongue and lateral edges
 Palate, uvula
 Tonsils for size and exudates
 Pharynx for color, lesions
Palpate:
 Teeth and gums for tenderness
 Buccal mucosa for masses

7

Neck exam

Inspect:
 Trachea position, symmetry
 Thyroid size, symmetry
Palpate:
 Musculature masses, tenderness
 Thyroid nodules, enlargement, tenderness

8

Lymph node exam

Inspect and palpate: size, consistency, mobility, shape, tenderness, symmetry
 Occipital
 Postauricular
 Preauricular
 Submandibular
 Anterior cervical

9

Weber test procedure

•Place vibrating tuning fork on the top of the head
•Ask the patient if the sounds can be heard the same in both ears of better in one
•Testing lateralization
a.Conductive loss – sound goes to deaf ear
b.Sensorineural – sound goes to better ear

10

Rinne test procedure

•Place vibrating tuning fork on the mastoid bone of each ear
•The examiner asks the patient to tell them when they can no longer hear the sound
•Then move the tuning fork in front of the ear and ask the patient to tell them when he can no longer hear it
•Air conduction should be longer than bone conduction 2:1
a.Conductive loss – BC>AC
b.Sensorineural – AC>BC but not 2:1