Head, eyes, ears, nose and organ and.pptx

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1. Head, eyes, ears, nose and throat

2. Present health status Noticed changes Any chronic condition, medications

3. Past and family history History of injury, surgery, infection, diseases Family members with cancer or impairment in hearing, vision or thyroid

4. Personal and psychosocial Last checkup and corrective devices if any Daily practices to maintain health concerning HENT Nature of work or environment Smoking, alcohol, substance abuse

5. Headache PQRST

6. Dizziness/vertigo Describe the sensation When it occur How did it started How often it occur How long it last Management done and its effectiveness

7. Hearing loss, vision impairment, tinnitus, earache, nasal discharge, sore throat, mouth lesion Describe the problem When it occur How did it started How often it occur How long it last Management done and its effectiveness

8. Head Examination • INSPECT the head. • INSPECT the facial structures. • PALPATE structures of the skull. • PALPATE the bony structures of the face and jaw. • PALPATE the temporal arteries.

9. Eye examination • TEST visual acuity. • INSPECT the external ocular structures: • Eyebrows, eyelids, eyelashes • Conjunctiva • INSPECT the eyes. • INSPECT the corneal light reflex. • INSPECT the sclera. • INSPECT the cornea transparency and surface characteristics. • INSPECT the pupils.

10. • ASSESS the visual fields for peripheral vision. • ASSESS eye movement: • Six cardinal fields of gaze • Cover-uncover test • PALPATE the eye, eyelids, and lacrimal puncta. • TEST the corneal reflex.

11. Ears A SSESS hearing based on response from conversation. • INSPECT the external ears. • INSPECT the external auditory meatus. • PALPATE the external ears and mastoid areas.

12. Nose INSPECT the nose. • PALPATE the nose. • INSPECT the internal nasal cavity. • PALPATE the paranasal sinuses.

13. Mouth • INSPECT the lips. • INSPECT the teeth and gums. • INSPECT the tongue. • INSPECT the buccal mucosa and anterior and posterior pillars. • INSPECT the palate, uvula, posterior pharynx, and tonsils. • PALPATE the teeth, inner lips, and gums. • PALPATE the tongue.

14. Neck and lymph nodes • INSPECT the neck: • Appearance • Position • Skin characteristics • INSPECT the neck: • Range of motion • PALPATE the neck: • Anatomic structures

15. • Tenderness • Muscle strength • INSPECT the neck: • Range of motion • PALPATE the neck: • Anatomic structures • Tenderness • Muscle strength

16. Special test Visual acuity test/vision screener Use of Snellen’s chart 20 feet Expected finding=20/20

17. Visual Field Distance-2 to 3 feet Normal values are 50 degrees anteriorly, 70 degrees inferiorly, 90 degrees temporally, and 60 degrees nasally.

18. Eye movement 10 to 12 inches

19. Pupil Miosis (pupillary constriction; usually less than 2 mm in diameter) Mydriasis (pupillary dilation; usually more than 6 mm in diameter) Oval pupil Anisocoria (unequal size of pupils)

20. Cover and uncover eyes The covered eye should not move. If with movement, strabismus is present

21. weber’s test

22. Rinne Test

23. tonsils

24. neck