Advanced Health Assessment – HEENT with expert solutions 2024
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Course
Hesi
Institution
Hesi
Advanced Health Assessment – HEENT with expert solutions 2024
Advanced Health Assessment – HEENT with expert solutions 2024
Advanced Health Assessment – HEENT with expert solutions 2024
Advanced Health Assessment – HEENT with expert solutions
2024
1. Inspect
Palpate
Percussion
Auscultation
Function - specific techniques for that area Documentation of
area: Systematic assessment of HEENT
2. Size
Shape
Symmetry
Position
Texture and distribution of hair: Head and scalp inspection
3. Head for masses, tenderness
Scalp mobility: Head and scalp palpation
4. Normocephalic
Atraumatic: Documentation of the head
5. Review of systems question
Inspect external structures and ophthalmic exam
Palpate lacrimal duct
Function - central and peripheral vision Pupil
reaction: Eyes assssment
,Advanced Health Assessment – HEENT with expert solutions
2024
6. 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: History of present health concern
7. Diplopia: Double vision
8. Drooping of the eye
Can be due to swelling
Can have this due to a neurological condition, stoke etc.: Ptosis
9. 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
, Advanced Health Assessment – HEENT with expert solutions
2024
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 accommo- dation
Lacrimal glands and ducts - tenderness and excessive tearing: Inspection of
external structures
10.Injections: Bloodshot eyes are called
11. Pupils will dilate as you move finger closer to eye (at the nose)
*cross eyed: Accommodation testing
12.Pupillary response: Physiological response that varies the size of the pupil,
via the optic and oculomotor cranial nerve
13.Pinpoint pupils: Miosis is AKA
14.Miosis: Characterized by constricted and fixed pupils, possibly a result of
nar- cotic drugs or brain damage
15.Anisocoria: Pupils of unequal size
16. If greater in bright light - the cause may be trauma, tonic pupil (caused by
impaired parasympathetic nerve supply to iris) and oculomotor nerve paralysis
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