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Exam (elaborations)

Advanced Health Assessment – HEENT CORRECT 100%

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  • Course
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  • HEENT

Inspect Palpate Percussion Auscultation Function - specific techniques for that area Documentation of area - ANSWER Systematic assessment of HEENT Size Shape Symmetry Position Texture and distribution of hair - ANSWER Head and scalp inspection Head for masses, tenderness Scalp mobil...

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  • November 9, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HEENT
  • HEENT
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Lecchris
Advanced Health Assessment – HEENT
CORRECT 100%
Inspect

Palpate

Percussion

Auscultation

Function - specific techniques for that area

Documentation of area - ANSWER Systematic assessment of HEENT



Size

Shape

Symmetry

Position

Texture and distribution of hair - ANSWER Head and scalp inspection



Head for masses, tenderness

Scalp mobility - ANSWER Head and scalp palpation



Normocephalic

Atraumatic - ANSWER Documentation of the head



Review of systems question

Inspect external structures and ophthalmic exam

Palpate lacrimal duct

Function - central and peripheral vision

Pupil reaction - ANSWER Eyes assssment

, Vision loss

Diplopia due to CN, cerebellum, extraocular muscles

Eye tearing: due to irritants, allergies

Eye drainage: infection or allergies

Eye appearance changes:trauma, infection

Eye pain: trauma, retinal detachment

Blurred vision: near/far

Dry eyes

Ptosis - ANSWER History of present health concern



Diplopia - ANSWER Double vision



Drooping of the eye

Can be due to swelling

Can have this due to a neurological condition, stoke etc. - ANSWER Ptosis



Lids and lashes - color lesions, edema, symmetry, position and distribution of lashes



Lacrimal glands and ducts - color, edema, excessive, testing or drainage



Conjunctiva - color, moisture, lesions, and foreign bodies



Sclera (should be white) - color, moisture, lesions, or tears



Cornea - clarity and abrasions, corneal reflex



Anterior chamber - clarity, bulging iris, and blood

, Iris - color, size, shape, symmetry



Pupils - size, shape, reaction to light - direct and consensual, test accommodation



Lacrimal glands and ducts - tenderness and excessive tearing - ANSWER Inspection of external structures



Injections - ANSWER Bloodshot eyes are called



Pupils will dilate as you move finger closer to eye (at the nose)

*cross eyed - ANSWER Accommodation testing



Pupillary response - ANSWER Physiological response that varies the size of the pupil, via the optic and
oculomotor cranial nerve



Pinpoint pupils - ANSWER Miosis is AKA



Miosis - ANSWER Characterized by constricted and fixed pupils, possibly a result of narcotic drugs or
brain damage



Anisocoria - ANSWER Pupils of unequal size



If greater in bright light - the cause may be trauma, tonic pupil (caused by impaired parasympathetic
nerve supply to iris) and oculomotor nerve paralysis



Greater in dim light - cause may be Horner' syndrome (caused by paralysis of the cervical sympathetic
nerves and characterized by ptosis, sunken eyeball, flushing of the affected side of the face, and
narrowing of the palpebral fissure) - ANSWER Anisocoria circumstances



Mydriasis - ANSWER Dilated and fixed pupils, typically resulting from central nervous system injury,
circulatory collapse, or deep anesthesia

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