{{Short description|Portion of a physical examination}} A '''HEENT examination''' is a portion of a 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 ** Inspection of scars or skin changes ** Palpation of temporomandibular joint, thyroid, and lymph nodes ** Percussion may involve the skin above the frontal sinuses and paranasal sinuses to detect any signs of pain ** Auscultation for carotid bruits * Tests specific to HEENT examination ** Eyes: eye examination and acuity (including ophthalmoscope) ** Ears: hearing examination and evaluation of tympanic membrane (TM) (otoscope used in evaluation of ears, nose, and mouth)
A 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 | | "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== {{reflist}}
{{Medical records and physical exam}}
Category:Medical terminology