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Advanced Health Assessment - HEENT

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Advanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENTAdvanced Health Assessment - HEENT

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Advanced Health Assessment - HEENT
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+1 - tonsils are visible

+2 - tonsils are midway between pillars and uvula (50% obstruction)

+3 - tonsils touch the uvula (70%)

+4 tonsils touch each other (>75%) - ANSWER✅✅✅Tonsils grading



10 - ANSWER✅✅✅Total sites for lymph nodes on the neck



1cm - ANSWER✅✅✅If a lymph node is greater than ___ you should be concerned



8 - ANSWER✅✅✅Children do not have frontal sinuses until age



Abnormal findings of head/neck - ANSWER✅✅✅parotiditis

sialoadnitis

mulinodular goiter

single thyroid nodule

diffuse enlargement of the thyroid



Abnormal findings of mouth/throat - ANSWER✅✅✅angular cheilitis

angioedema

herpes simplex

tonsillitis

Torus palatinus

thrush

leukoplakia



Abnormal findings of tongue - ANSWER✅✅✅fissured tongue

geographic tongue

Advanced Health Assessment - HEENT
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,Advanced Health Assessment - HEENT
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aphthous ulcer

hairy leukoplakia

stawberry tongue



Abnormal nasal findings: - ANSWER✅✅✅polyps

nasal obstruction

rhinitis

sinusitis



Acute otitis media - ANSWER✅✅✅loss of light reflex and bony landmarks, redness, bulging, and loss
of mobility on insufflation



Anisocoria - ANSWER✅✅✅Pupils of unequal size



Associated with some sort of greater disease process

*cancers - ANSWER✅✅✅If you feel the supraclavicular nodes (palpable)



Auricle and external ear canal



Angle of attachment and position - if greater than 15 degrees, associated with mental retardation



Size, shape, symmetry

Darwinian tubercle



Drainage - clear, blood, or purulent



Consistency and tenderness


Advanced Health Assessment - HEENT
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, Advanced Health Assessment - HEENT
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Palpate Travis, mastoid and helix for tenderness - ANSWER✅✅✅Inspection and palpation of
external ear



Bacterial conjunctivitis

Miosis (small fixed pupil)

Jaundice

Hordelum (style)

Cataracts

Copper wiring

Glaucoma

Exophthalmos

Fixed and dilated - ANSWER✅✅✅Opthalamic exam findings



Blue-white or pale nasal mucous membrane - ANSWER✅✅✅allergic



Canals clear

TM's intact with good cone of light

Acuity good to whispered voice - ANSWER✅✅✅Physical exam documentation: ears



CN X - ANSWER✅✅✅Vagus nerve



CN XII Hyposlossal - ANSWER✅✅✅Tongue-- ability to stick out tongue



Color

Condition

Lesions


Advanced Health Assessment - HEENT
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