Assessment – HEENT |
Study Guide, Practice
Questions & Exam
Review
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, Normocephalic Documentation of the head
Atraumatic
Review of systems question Eyes assssment
Inspect external structures and ophthalmic exam
Palpate lacrimal duct
Function - central and peripheral vision
Pupil reaction
Vision loss History of present health concern
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
Diplopia Double vision
Drooping of the eye Ptosis
Can be due to swelling
Can have this due to a neurological condition, stoke
etc.
Lids and lashes - color lesions, edema, symmetry, Inspection of external structures
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
Injections Bloodshot eyes are called