(Exam 1 - HEENT Exam:: 2026-2027 Versions)
Otitis media Middle ear infection
Sensorineural hearing loss Problem in the inner ear (cochlear nerve, neuronal transmission into brain)
Causes?
Causes
- Loud noise exposure (>85 dB)
- Inner ear infections
- Trauma
- Tumors
- Congenital
- Aging
Conductive hearing loss External or middle ear disorder impairs sounds conduction into brain
Causes? - You can still hear through the bone b/c it transmits directly to the cochlea (avoids the
outer/middle ear)
Causes
- Foreign body
- Otitis media
- Perforated eardrum
- Otosclerosis of ossicles
Vermillion border Line between lips and face skin
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
, (Exam 1 - HEENT Exam:: 2026-2027 Versions)
Isthmus The middle of the thyroid's lobes
Normal HEAD exam example (charting) - NC/AT (normocephalic/atraumatic)
- Non-tender to palpation at lymph nodes.
Normal EYE exam example (charting) - Visual acuity 20/20 B/L
- Field of vision good
- EOMI
- Sclera white, Conjunctiva Pink
- PERRLA
- Disc margins sharp
- No hemorrhages or exudates
Normal EAR exam example - Acuity good to finger rubbing
(charting) - Weber midline
- AC>BC
- TM's with good cone of light
Normal NOSE exam example (charting) - Nasal mucosa pink
- Septum midline
- No sinus tenderness
Normal THROAT exam example (charting) - Trachea midline
- Thyroid symmetric, not enlarged, no palpable nodules
- Neck supple
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
Otitis media Middle ear infection
Sensorineural hearing loss Problem in the inner ear (cochlear nerve, neuronal transmission into brain)
Causes?
Causes
- Loud noise exposure (>85 dB)
- Inner ear infections
- Trauma
- Tumors
- Congenital
- Aging
Conductive hearing loss External or middle ear disorder impairs sounds conduction into brain
Causes? - You can still hear through the bone b/c it transmits directly to the cochlea (avoids the
outer/middle ear)
Causes
- Foreign body
- Otitis media
- Perforated eardrum
- Otosclerosis of ossicles
Vermillion border Line between lips and face skin
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
, (Exam 1 - HEENT Exam:: 2026-2027 Versions)
Isthmus The middle of the thyroid's lobes
Normal HEAD exam example (charting) - NC/AT (normocephalic/atraumatic)
- Non-tender to palpation at lymph nodes.
Normal EYE exam example (charting) - Visual acuity 20/20 B/L
- Field of vision good
- EOMI
- Sclera white, Conjunctiva Pink
- PERRLA
- Disc margins sharp
- No hemorrhages or exudates
Normal EAR exam example - Acuity good to finger rubbing
(charting) - Weber midline
- AC>BC
- TM's with good cone of light
Normal NOSE exam example (charting) - Nasal mucosa pink
- Septum midline
- No sinus tenderness
Normal THROAT exam example (charting) - Trachea midline
- Thyroid symmetric, not enlarged, no palpable nodules
- Neck supple
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
