Question

How do I answer these questions with proper medical terminology for each assessment?

HEENT (head, ears, eyes, nose and throat)

Inspect head, eyes, ears, nose for size, shape, symmetry.

Palpate head, hair, face and sinuses for any deformities, tenderness, masses.

Assess eyes with penlight for pupil size, reactivity & accommodation. 6 cardinal fields of gaze. Symmetrical?

Assess hearing: vocal and soft sounds

Answer 1

Health assessment is the evluation of the health status by performing a physical exam after taking a health history.

INSPECTION:

HEAD:

INSPECTION AND PALPATION ON THE FACE AND HAIR: a) Inspect the overall appearance of the face at the same level b) inspect for any drooping on the face in cases like Bell's palsy or Stroke c) Check for facial expressions or for any lesions d) Palpate the head for any msses or skin breakdown and e) inspect for any infestations like lice, alopecia areata, nevus on the scalp f) Test for 8th cranial nerve by asking the patient to close their eyes tightly, smile, frown, puff out chhek etc. This will help to understand whether the patient can do it without any difficulties.

EYES: Inspect the eyes, eyelids, pupils sclera and conjunctiva for any swelling or for any yellowish discoloration (jaundice) in sclera. Many variations in size and shape exist within the label of normal ear, but in general, the normal ear is one in which all structures are present and well formed. Look for Strabismus and Aniscoria ( check the eyes line for size and simmilarities). PREAURICULAR PITS: are located at a superior attachment of the pinna to the face and may be unilateral or bilateral. Check for 3rd, 4th and 6th cranial nerve: Have the patient follow the pen light by moving it 12-14 inches from the patient's face in the six cardinal fields of gaze, watch for any Nystagmus ( involuntary movements in the eyes). Reactive to light: a) Dim the light and allow the patient to look at a distant object this occur by dialting the pupils b) shine the light from each side it constrict the pupils. Accommodation: Make the lights normal and have patient look at a distant object to dialte pupils and then have aptients satre at pen light and slowly move it closer to the patient's nose. At thsi time, watch the Examination of pupils include its shape- circular or irregular b) Color- jet black, greyish white, pearly white, milky white,brown,leucocoria, occluded. Pupillary reaction- Direct, consensual light reflex, swinging flash light, test, near reflex.

EAR: Inspect both the external ear canal using otoscope for any redness, swelling, tenderness, lesions, drainage or foreign bodies. Size and shape - normal is 4-10cm tall. Skin conditions- check for any edema, inflammation and lesions. Check for any tenderness and its locations. External Auditory Meatus- a) Atrsia- absence or closure of ear canal b) Otitis externa- may cause purulent discharge c) Otitis media- cause rupture of tympanic membrane.

NOSE: Inspect nose for any septal deviation, drainage or redness. Check for 1st cranial nerve( olfactory nerve): Have the patient close their eyes and place something with a pleasant smell under the nose and have identify them.