# HEENT examination

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> Markdown URL: https://mediated.wiki/source/HEENT_examination.md
> Source: https://en.wikipedia.org/wiki/HEENT_examination
> Source revision: 1322631980
> License: Creative Commons Attribution-ShareAlike 4.0 International (https://creativecommons.org/licenses/by-sa/4.0/)

{{Short description|Portion of a physical examination}}
A '''HEENT examination''' is a portion of a [physical examination](/source/physical_examination)<ref name="MahadevanGarmel2005">{{cite book|author1=Swaminatha V. Mahadevan|author2=Gus. M. Garmel|title=An introduction to clinical emergency medicine|url=https://books.google.com/books?id=PL9OKbfcHasC&pg=PA267|access-date=6 March 2011|date=5 July 2005|publisher=Cambridge University Press|isbn=978-0-521-54259-3|pages=267–}}</ref> that principally concerns the head, eyes, ears, nose, and throat.<ref>{{cite book|last1=Deutsch|first1=Laurence M.|title=Medical Records for Attorneys|date=2001|publisher=ALI-ABA|isbn=9780831808174|page=57|url=https://books.google.com/books?id=8QqrCPzDnxAC&q=HEENT+examination|access-date=18 January 2018|language=en}}</ref>

==Steps==
* [IPPA](/source/IPPA)
** Inspection of scars or skin changes
** Palpation of [temporomandibular joint](/source/temporomandibular_joint), [thyroid](/source/thyroid), and [lymph nodes](/source/lymph_nodes)
** Percussion may involve the skin above the [frontal sinus](/source/frontal_sinus)es and [paranasal sinuses](/source/paranasal_sinuses) to detect any signs of pain
** [Auscultation](/source/Auscultation) for [carotid bruit](/source/carotid_bruit)s
* Tests specific to HEENT examination
** Eyes: eye examination and acuity (including [ophthalmoscope](/source/ophthalmoscope))
** Ears: hearing examination and evaluation of [tympanic membrane](/source/tympanic_membrane) (TM) ([otoscope](/source/otoscope) used in evaluation of ears, nose, and mouth)

A [neurological examination](/source/neurological_examination) is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases.

==Sample write-up==

{| class="wikitable"
|-
! Category
! Item
! Sample text
|-
| [Head](/source/human_head)
| 
| "NC/AT" or "[Normocephalic](/source/Normocephalic), [atraumatic](/source/atraumatic)"
|-
| [Eyes](/source/Eyes)
| [ophthalmoscope](/source/ophthalmoscope)
| "[EOM](/source/Extraocular_muscles) intact, [PERRLA](/source/PERRLA), [anicteric](/source/anicteric), no [injection](/source/Injection_(medicine)), [fundus](/source/Fundus_(eye)) WNL (within normal limits), no [papilledema](/source/papilledema)"
|-
|[Ear](/source/Ear)s
|[otoscope](/source/otoscope)
| "[TM](/source/Eardrum) intact, noninflamed"
|-
| [Nose](/source/human_nose)
| [otoscope](/source/otoscope)
| "No [congestion](/source/Nasal_congestion)"
|-
| [Throat](/source/Throat)
| [otoscope](/source/otoscope)
| "[Oropharynx](/source/Oropharynx) WNL" or "no [erythema](/source/erythema) or [exudate](/source/exudate)"
|-
| [Mouth](/source/Mouth)
| [otoscope](/source/otoscope)
| "Moist [mucous membrane](/source/mucous_membrane)s, no [thrush](/source/Oral_candidiasis), no [vesicles](/source/Vesicle_(dermatology)), no [lesion](/source/lesion)s, good [dentition](/source/dentition)"
|-
| [Neck](/source/Neck)
| 
| "No [LAD](/source/lymphadenopathy), thyroid WNL, neck supple" ([JVD](/source/Jugular_venous_pressure) and [bruit](/source/bruit) may be reported here or in CV)
|}

==References==
{{reflist}}

{{Medical records and physical exam}}

Category:Medical terminology

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Adapted from the Wikipedia article [HEENT examination](https://en.wikipedia.org/wiki/HEENT_examination) by Wikipedia contributors ([contributor history](https://en.wikipedia.org/wiki/HEENT_examination?action=history)). Available under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/). Changes may have been made.