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11 Cards in this Set
- Front
- Back
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Components of the HEENT/neck PE: 6
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Head
Eyes Ears Nose Mouth/pharanx Lymph nodes |
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PE: specific parts of Head exam: 4
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-Check face for symmetry/movements/edema/masses.
-Check scalp and skull bones for asymmetry -Check hair quantity/distribution/texture/pattern of loss -Check scalp/skin color/texture/thickness/lesions *IF testing CNs: -VII: raise eyebrows, squeeze eyelids and resist opening, frown, smile, show teeth, puff out cheeks and resist. -V: temporal and masseter. -V: Sharp vs. light touch bilaterally. -XI: test SCM and trapezius. |
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PE: specific parts of Eye exam: 6
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-Check conjunctiva/sclera
-H-pattern stabilizing chin -Pupils size/direct/consensual/accommodation -Visual fields by confrontation -Eye chart, check each eye individually -Fundoscopic exam right eye/right eye left eye/left eye |
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PE: specific parts of Ear exam: 6
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Appearance
Palpate tragus/auricles/pain? Gross hearing close/far with eyes closed Weber Rinne Otoscopic exam |
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PE: specific parts of Nose exam: 2
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-Inspect nose for symmetry, lesions, etc.
-Palpate frontal/maxillary sinuses for tenderness. -Use otoscope, inspect mucosa for deviation, inflammation, perforation. *IF testing CNs: -I: sniff cinnamon or coffee with each nostril. |
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PE: specific parts of Mouth exam: 3
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-Use otoscope to inspect mucosa, gums, teeth, roof, floor, sides.
-Stick tongue out and check for symmetry. Have pt put tongue against cheeks on both sides and resist. -Pharanx, palate lifting- "Ah." Inspect posterior pharanx. |
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PE: specific parts of Neck exam: 2
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-Inspect for symmetry, swelling, etc.
-Lymph nodes: preauricular, postauricular, occipital, tonsillar, submandibular, submental, superficial cervical, posterior cervical, deep cervical, supraclavicular. -Thyroid test |
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Name all the lymph nodes you check in the neck PE: 10
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preauricular,
postauricular, occipital, tonsillar, submandibular, submental, superficial cervical, posterior cervical, deep cervical, supraclavicular |
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Oral presentation points for normal HEENT:
Do intro, vitals, Head, and Eyes. 2 / 3 / 1 / 6 |
-On PE the pt is sitting comfortably in NAD.
-He appears his stated age. -BP is 120/80. Pulse is 60. RR is 14. -Head is NC & AT. -Upon eye exam, conjunctiva were clear, sclera non-icteric, no ptosis, no lid lag or lid erythema. -Vision is 20/20 on left and 20/20 on right with glasses. -EOc movements are intact -P are ERRLA -Visual fields are within normal limits bilaterally. -Fundi are w/o hemorrhages or exudates with sharp disc margins bilaterally w/o papilledema. |
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Oral presentation points for normal HEENT:
Do Ears and Nose. 4 / 2 |
-Upon ear exam, gross hearing intact bilaterally.
-Normal Rinne and Weber tests. -External canals clear w/ normal architecture and w/o erythema bilaterally. -TM translucent, no erythema, dullness, or bulging, and with normal cone of light bilaterally. -Upon nasal exam, septum is midline, pink mucosa w/o tenderness or swelling -No sinus pain or tenderness. |
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Oral presentation points for normal HEENT:
Do Mouth and neck. 4 / 2 |
-Upon oral exam, there were moist mucus membranes, no oral lesions, good dentition.
-No tonsillar hypertrophy, erythema, or exudates. -Tongue/uvula midline -Symmetric elevation of soft palate. -Upon neck exam, neck is supple and freely movable w/o lymphadenopathy, tenderness, thyromegaly, or mass. -Trachea is midline. |
