HEENT Review of Systems: Headache, Trauma, Pruritus, Hair Thinning and Texture Changes, Eye Pain, Foreign Body Sensation, Red Eye, Vision Loss or Changes, Corneal Abrasions, Pain Onset, Quality, Location, Radiation, Severity, Precipitating and Alleviating

HEENT Review of Systems: Headache, Trauma, Pruritus, Hair Thinning and Texture Changes, Eye Pain, Foreign Body Sensation, Red Eye, Vision Loss or Changes, Corneal Abrasions, Pain Onset, Quality, Location, Radiation, Severity, Precipitating and Alleviating Factors, Ear Primary Pain, Secondary Pain, Acute Otitis Media, Tympanic Membrane Assessment, Otorrhea, Tinnitus, Vertigo, Nasal Congestion, Rhinorrhea, Epistaxis, Chronic Nasal Bleeding, Allergic Rhinitis, Deviated Septum, Sinus Pain, Nasal Pressure, Oral Lesions, Sore Tongue, Gingival Bleeding, Dry Mouth, Dental History, Throat Sore Throat, Hoarseness, Lymphadenopathy, Goiter Enlargement, Temperature Intolerance, Senter Criteria, ROS Assessment, Risk Stratification for Malignancy Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 Review of Systems: The Head Some of the most common things we see - infection, acute infection symptoms Headache - common Tauma Pruritus Thinning/hair loss Change in color/texture of the hair Common things can overlap clinical picture is different trauma vs infection Chief complaints related to the eye Pain Foreign body sensation Red eye Vision loss/change corneal abrasions are frequent - associated with pain, radiate across face, redness, not vision loss or change Factors to examine when assessing eye pain Onset Quality Location and radiation Severity and timing Precipitating factors Associated symptoms Alleviating factors corneal abrasion - quick onset, severe feeling precipitating factors - history, can pinpoint what happened, reaches backward alleviating factors - keep eye shut, stabilize cornea see a green color under UV light Primary pain - ear Originating within ear structures Infections and inflammation of middle and external ear structures and mastoid tissues seen often in kids, short eustachian tubes Secondary pain - ear Originating from other regions TMJ, dental, and periodontal problems Infections in the sinuses and nasopharyngeal areas Lesions of the tongue Cervical musculoskeletal problems Neuralgias Risks related to undiagnosed ear disorders Poor language development Performance in school Social isolation Hearing loss Risk for falls, sense of balance off Missed diagnoses - respiratory and oral infections