From Wikipedia, the free encyclopedia

A HEENT examination is a portion of a physical examination [1] that principally concerns the head, eyes, ears, nose, and throat. [2]

Steps

A neurological examination is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases.

Sample write-up

Category Item Sample text
Head "NC/AT" or " Normocephalic, atraumatic"
Eyes ophthalmoscope " EOM intact, PERRLA, anicteric, no injection, fundus WNL (within normal limits), no papilledema"
Ears otoscope " TM intact, noninflamed"
Nose otoscope "No congestion"
Throat otoscope " Oropharynx WNL" or "no erythema or exudate"
Mouth otoscope "Moist mucous membranes, no thrush, no vesicles, no lesions, good dentition"
Neck "No LAD, thyroid WNL, neck supple" ( JVD and bruit may be reported here or in CV)

References

  1. ^ 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. Retrieved 6 March 2011.
  2. ^ Deutsch, Laurence M. (2001). Medical Records for Attorneys. ALI-ABA. p. 57. ISBN  9780831808174. Retrieved 18 January 2018.
From Wikipedia, the free encyclopedia

A HEENT examination is a portion of a physical examination [1] that principally concerns the head, eyes, ears, nose, and throat. [2]

Steps

A neurological examination is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases.

Sample write-up

Category Item Sample text
Head "NC/AT" or " Normocephalic, atraumatic"
Eyes ophthalmoscope " EOM intact, PERRLA, anicteric, no injection, fundus WNL (within normal limits), no papilledema"
Ears otoscope " TM intact, noninflamed"
Nose otoscope "No congestion"
Throat otoscope " Oropharynx WNL" or "no erythema or exudate"
Mouth otoscope "Moist mucous membranes, no thrush, no vesicles, no lesions, good dentition"
Neck "No LAD, thyroid WNL, neck supple" ( JVD and bruit may be reported here or in CV)

References

  1. ^ 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. Retrieved 6 March 2011.
  2. ^ Deutsch, Laurence M. (2001). Medical Records for Attorneys. ALI-ABA. p. 57. ISBN  9780831808174. Retrieved 18 January 2018.

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