AHEENT examination is a portion of aphysical examination[1] that principally concerns the head, eyes, ears, nose, and throat.[2]
Steps
edit- IPPA
- Inspection of scars or skin changes
- Palpation oftemporomandibular joint,thyroid, andlymph nodes
- Percussion may involve the skin above thefrontal sinuses andparanasal sinuses to detect any signs of pain
- Auscultation forcarotid bruits
- Tests specific to HEENT examination
- Eyes: eye examination and acuity (includingophthalmoscope)
- Ears: hearing examination and evaluation oftympanic membrane (TM) (otoscope used in evaluation of ears, nose, and mouth)
Aneurological examination is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases.
Sample write-up
edit| Category | Item | Sample text |
|---|---|---|
| Head | "NC/AT" or "Normocephalic,atraumatic" | |
| Eyes | ophthalmoscope | "EOM intact,PERRLA,anicteric, noinjection,fundus WNL (within normal limits), nopapilledema" |
| Ears | otoscope | "TM intact, noninflamed" |
| Nose | otoscope | "Nocongestion" |
| Throat | otoscope | "Oropharynx WNL" or "noerythema orexudate" |
| Mouth | otoscope | "Moistmucous membranes, nothrush, novesicles, nolesions, gooddentition" |
| Neck | "NoLAD, thyroid WNL, neck supple" (JVD andbruit may be reported here or in CV) |
References
edit- ^Swaminatha V. Mahadevan; Gus. M. Garmel (5 July 2005).An introduction to clinical emergency medicine. Cambridge University Press. pp. 267–.ISBN 978-0-521-54259-3. Retrieved6 March 2011.
- ^Deutsch, Laurence M. (2001).Medical Records for Attorneys. ALI-ABA. p. 57.ISBN 9780831808174. Retrieved18 January 2018.