HEENT Assessment: Chief Complaint in Patient’s Own Words, Chronologic Problem Analysis, Symptom Onset, Setting and Treatment History, Symptom Attributes Including Location, Quality, Severity, Timing, Duration, Frequency, Radiation, Modifying Factors, Asso

HEENT Assessment: Chief Complaint in Patient’s Own Words, Chronologic Problem Analysis, Symptom Onset, Setting and Treatment History, Symptom Attributes Including Location, Quality, Severity, Timing, Duration, Frequency, Radiation, Modifying Factors, Associated Manifestations, Pertinent Positives and Negatives, Review of Systems (General, Skin, Hair, Nails, Headache, Trauma, Dizziness, Vision Changes, Eye Pain, Redness, Tearing, Spots, Specks, Flashes, Cataracts, Glaucoma, Hearing Changes, Tinnitus, Vertigo, Ear Discharge, Frequent Infections, Nasal Congestion, Rhinorrhea, Epistaxis, Sore Throat, Hoarseness, Bleeding Gums, Dry Mouth, Neck Lumps, Goiter, Pain, Stiffness, Respiratory Symptoms, Cough, Hemoptysis, SOB, Wheezing, Chest Pain, Cardiovascular Symptoms, Palpitations, Swelling, GI Symptoms Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 For the HPI (history of present illness), you will need to attain the following information: Chief complaint Review of Systems pertaining to the symptom Pertinent medical history/surgical history Write up HEENT physical exam History of present illness (HPI) Chronologic account of problem(s) Onset of problem(s) The setting in which it developed Any treatments Chief complaint Make every attempt to quote the patient's own words If there are no complaints, report goals Attributes of chief complaint Location Quality Quantity or severity Timing - onset, duration, and frequency Setting in which it occurs Modifying factor Associated manifestations Pertinent positives and negatives Location Where is it? does it radiate? Quality What does it feel like? Quantity Rate 1-10? Timing - onset, duration, frequency when did the symptom first appear? How long does it last? How often does it occur? Setting in which it occurs Include environmental factors, personal activities, emotional reactions, or other circumstances that may have contributed to the illness. Modifying factor something that makes a symptom better or worse Associated manifestations Does anything come with it? Determining whether other symptoms accompany the chief complaint may be necessary to determine whether all the symptoms relate to the chief complaint or are related to a separate condition. Pertinent positive and negatives s/s you would expect to find if a possible cause was true expected facts that you would expect to find if a possible cause was true ROS (review of systems pertaining to the symptom) Address each body system, from head to toe Most questions pertain to symptoms May uncover problems patient has overlooked Do not use medical terms General any unusual weight gain or loss, weakness, fatigue or fever Skin any rashes, lumps, sores, itching, dryness, changes in hair or nails or changes in size or color of moles