Comprehensive HEENT Examination: Tina Jones, Exams of Advanced Education

Download Comprehensive HEENT Examination: Tina Jones and more Exams Advanced Education in PDF only on Docsity! SHADOW HEALTH - HEENT TINA JONES FULL DOCUMENT 2023-2024 Inspect head and face - skull symmetry: symmetric facial feature symmetry: symmetric appearance: Papules, pustules, or comedones Inspect eyes and orbital area - orbital area: No visible abnormal findings sclera: White conjunctiva: Moist and pink conjunctival discharge: No discharge Inspect nasal cavities - color: Pink discharge: No discharge turbinate patency: Patent observations: No additional visible abnormal findings Inspect ears - right auditory canal color: Pink right tympanic membrane color: Pearly gray right tympanic membrane appearance: No visible abnormal findings right cone of light: 5:00 right discharge: No discharge left auditory canal color: Pink left tympanic membrane color: Pearly gray left tympanic membrane appearance: No visible abnormal findings left cone of light: 7:00 left discharge: No discharge Inspect mouth and throat - oral mucosa: Moist and pink throat color: Pink throat texture: No abnormal findings tonsils: No visible abnormal findings post nasal drip: No discharge Inspect neck - symmetry: Symmetric appearance: Discoloration Palpated scalp - observations: o additional abnormal findings tenderness: None reported Palapated sinuses - frontal: None reported maxillary: None reported Palpated carotid arteries - right vibration: No thrill right intensity: 2+ Expected left vibration: No thrill left intensity: 2+ Expected Palpated jaw - observations: No palpable abnormal findings Palpated lymph nodes - head and neck: No palpable nodes supraclavicular: No palpable nodes axillary: No palpable nodes Palpated thyroid gland - observations: No palpable abnormal findings tenderness: None reported Auscultated carotid arteries - right: No bruit left: No bruit How have you been treating your runny nose? Asked about current nasal problems - Do you have a runny nose right now? Asked about alcohol intake - When was your last alcoholic drink? How many alcoholic drinks do you typically have in one sitting? How many alcoholic drinks do you typically have in a week? Ask about tobacco use - Do you smoke tobacco? Do you vape? Asked about ear problems - Do you have ear pain? Do you have ear discharge? Do you have vertigo? Do you use cotton swabs in your ears? Asked about hearing - Have you had changes in your hearing? Do you have difficulty hearing? Asked about mouth problems - Have you had bleeding gums? Have you had mouth sores? Have you had tongue problems? Have you had dry mouth? Asked about dentition - Do you have current dental problems? When was your last dental visit? Did you visit the dentist regularly as a child? Did you have cavities as a child? Do you floss? Asked about throat problems - Have you had a sore throat? Has your voice changed? Do you have difficulty swallowing? Asked about lymph node problems - Have your lymph nodes been painful? Have your lymph nodes been swollen? Asked about thyroid problems - Have you been diagnosed with thyroid problems? Asked family history of head problems - Do head problems run in your family? Asked family history of eye problems - Do you have a family history of eye problems? Asked family history of ear problems - Do ear problems run in your family? Do you have a family history of hearing loss? Asked family history of nasal problems - Has anyone in your family had hay fever? Asked family history of mouth problems - Do mouth problems run in your family? Do you have a family history of dental problems? Do you have a family history of mouth cancer? Asked family history of throat and surrounding gland problems - Do thyroid problems run in your family? Do you have a family history of lymph node cancers? Do you have a family history of throat cancer?