Module 8: HEENT: Head, Eyes, Ears, Neck Throat and
Lymphatic System
Textbook: Chapter 10 Health Assessment for Nursing Practice
Physical Assessment: EENMT (eyes, ears, nose, mouth & throat)
Feature concept: Sensory perception
• Ability to understand and interact through senses:
o Sight
o Hearing
o Smell
o Taste
o Touch
EYES: History
• History of Present Illness
o Red Eye, Vision, Pain, Secretions, etc.
• Past Medical History
o Trauma, Eye Surgery, Chronic Illnesses
• Family History
o Retinoblastoma, Glaucoma, Macular Degeneration, DM, HTN, Colorblindness, Cataract
formation, Retinal Detachment
• Social History
• Employment, tobacco abuse, activities, corrective lenses
Assessment of the Eye
• Techniques:
o Inspection
External
Internal
o Palpation
External
• Specific assessment:
o Visual acuity of distant and near vision using Jaeger or Rosenbaum charts
External Examination
• Inspection
o Eyebrows
o Orbital area
o Eyelids
• Palpation
Internal Examination
• Inspection
o Conjunctiva
o Iris and pupil
o Lens
o Sclera
o Lacrimal apparatus
• Palpation
Physical Examination
• Pupillary reflexes and accommodation
• Eye inspection and palpation: iris and pupil
• Extraocular movement
Lymphatic System
Textbook: Chapter 10 Health Assessment for Nursing Practice
Physical Assessment: EENMT (eyes, ears, nose, mouth & throat)
Feature concept: Sensory perception
• Ability to understand and interact through senses:
o Sight
o Hearing
o Smell
o Taste
o Touch
EYES: History
• History of Present Illness
o Red Eye, Vision, Pain, Secretions, etc.
• Past Medical History
o Trauma, Eye Surgery, Chronic Illnesses
• Family History
o Retinoblastoma, Glaucoma, Macular Degeneration, DM, HTN, Colorblindness, Cataract
formation, Retinal Detachment
• Social History
• Employment, tobacco abuse, activities, corrective lenses
Assessment of the Eye
• Techniques:
o Inspection
External
Internal
o Palpation
External
• Specific assessment:
o Visual acuity of distant and near vision using Jaeger or Rosenbaum charts
External Examination
• Inspection
o Eyebrows
o Orbital area
o Eyelids
• Palpation
Internal Examination
• Inspection
o Conjunctiva
o Iris and pupil
o Lens
o Sclera
o Lacrimal apparatus
• Palpation
Physical Examination
• Pupillary reflexes and accommodation
• Eye inspection and palpation: iris and pupil
• Extraocular movement
