What is the first step of the HEENT exam? - Answer ✔✔The hair-scalp-skull
exam
When examining the hair, what are we examining? - Answer ✔✔The thickness of
the hair, the quality and quantity, any areas of hair loss
How do we examine the scalp? What do we examine? - Answer ✔✔Part areas of
the hair to expose the scalp. Note for any scaliness, lesions, or lumps. Next, we feel
the scalp, for any deformities and ask patient to note for any feelings of tenderness
as we press down on the scalp
After completing the hair-scalp-skull exam, what comes next? - Answer ✔✔The
face exam
How do we perform the face exam? - Answer ✔✔We first examine the face noting
for any signs of edema, lesions, involuntary movements.
After completing the face exam, what comes next? - Answer ✔✔Skin exam
How do we perform the skin exam? - Answer ✔✔Note the color of the skin, the
texture of the skin, any signs of lesions or rashes
After completing the skin exam, what comes next? - Answer ✔✔The eye exam
, What comes first in the eye exam? - Answer ✔✔Note the position and alignment
of the eyes. Then we examine the eyebrows. Look underneath to see if there is any
scaliness and also note the distribution of the hair. Next look at the eyelids, noting
any edema, bumps, or lesions. Also note the direction of the eyelashes.
What do we do next in the eye exam? - Answer ✔✔Examine the conjunctiva and
sclera. To do this, pull down on patient's eyes and ask patient to look up. Then pull
up on patient's eyelid and ask patient to look down. As we are doing this, we are
looking at the color and any lesions/nodules/discharges. We also look at the cornea
to see if any cloudiness/opacities/rings
After examining the conjunctiva/sclera/cornea, what do we do? - Answer ✔✔Test
the patient's visual acuity
How do we test the patient's visual acuity? - Answer ✔✔Grab the eye chart. Ask
patient to hold the chart about 14 inches from eye at eye level. Ask patient to cover
one eye and ask patient to read the smallest line that they can read. Repeat on other
side.
After testing for patient's visual acuity, what do we do next? - Answer ✔✔Test
patient's visual fields
How do we test patient's visual fields? - Answer ✔✔ask patient to cover one eye
and ask patient to fix gaze upon your nose. Place two fingers on either side of the
patient and ask patient to tell you when she can see neither, one, or both fingers.
Do this horizontally, and diagnoally on both sides. Repeat on other side
After testing for patient's visual fields, what do we test for? - Answer ✔✔Patient's
extraocular muscle
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