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Heent Assessment Latest Updates 2024/2025
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Heent Assessment Latest Updates 2024/2025
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Heent Assessment Latest Updates2024/2025
How do we assess the neck? ANS✔✔ We auscultate major blood vessels
Why do we auscultate the neck? ANS✔✔ To detect bruits**, which are abnormal
arterial sounds, similar to murmurs, cause be increased turbulence over major
blood vessels, such as the carotid artery.
Why do bruits occur? ANS✔✔ When an artery is partially obstructed or distended,
which prevents blood flow from moving straight through the vessel
What are some questions to ask before doing a HEENT assessment? ANS✔✔ Do you
have headaches, problems with frequent headaches?
Do you wear glasses/contacts?
What problems do you have with vision?
Any recent head trauma or history of head injury?
Have you had a stroke?
What do we assess for in head position assessment? ANS✔✔ Should be in line with
neck (stroke may affect this), facial droop (stroke or other neuro problem)
Normocephalic, hydrocephalic
What does normocephalic mean? ANS✔✔ normal size and shape of head *also
assess scalp at this point*
What does hydrocephalic mean? ANS✔✔ enlarged head, build up of fluid!
*Hydrocephalis*= build up of CSF in brain!
, What do we assess the facial features for? ANS✔✔ Symmetry of: eyelids, eyebrows,
nasolabial folds, mouth and facial droop
All of the above being unsymmetrical may indicate seizure/neuro problem
How do we assess the temporomadibular joint? ANS✔✔ Palpate the TMJ for
crunching (crepitis) or popping.
**assessing the TMJ also assesses for proper function of what cranial nerve? VII
What are some questions to ask before performing an eye inspection? ANS✔✔ Do
you wear glasses/ contacts?
Ask patient to read paper- make sure they are literate. If not literate, ask them to
identify images
Ask patient to look at Snellen eye chart, 20 ft away, covering one eye.
What does cranial nerve II control? ANS✔✔ Oculomotor acitivity (pupillary reflex,
accommodation)
What does cranial nerves III, IV, and VI control? ANS✔✔ Six directions of gaze
What does EOM stand for? ANS✔✔ Extraocular Movements
How do we assess EOM? ANS✔✔ "H" assessment
How do we assess visual acuity? ANS✔✔ Snellen or reading a piece of paper 14
inches from face
What is nystagmus? ANS✔✔ If eyes are jaggedly, not smoothly, moving together in
parallel
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