Physical Assessment - NURS 190 HEENT Worksheet Week 2

HEENT + Neuro + Endocrine + Lymph Worksheet


🧠 General Principles
 How do you prepare and structure a focused physical exam?
 Infection control: Hand hygiene, glove use, equipment sanitation
 What does "normal” vs “abnormal” look like across systems?


🌡️
Endocrine Basics
 Hypothyroidism vs Hyperthyroidism


🧢 Pediatric Focus
 Age-based anatomy: Ear exam (down & back vs up & back)
 Strabismus


🎧 Hearing & Balance
 Rinne Test: Bone vs air conduction? How do you perform this test? What is
the normal vs abnormal finding?
 Weber Test: Lateralization?
 Romberg: Balance, proprioception
 Hirschberg
 Whisper test
 Otitis media vs Otitis externa
During the Rinne test, AC should be twice as long as BC. If BC is equal to or greater
than AC, it is evidence of conductive hearing loss.
●The Weber test determines whether someone with hearing loss has SNHL or
conductive hearing loss.


👁️
Vision & Eye Function
 Snellen chart for acuity (20/20 = normal)
 The Snellen chart is used to assess far vision; the Jaeger test is used for near
vision. A patient with 20/20 vision can read at about 6 m (20 ft) what the

, normal person can read at about 6 m (20 ft). A higher number at the bottom
indicates worse vision.
 Rosenbaum test
 Pupils: PERRLA (Pupils Equal, Round, Reactive to Light & Accommodation)
 Confrontation test
 Cover/Uncover test
 Nystagmus
 Rosenbaum
 Myopia
 Hyperopia
 Presbyopia
 Subconjunctival hemorrhage
 Conjunctivitis
 Enotropion
 Exotropion
 Red reflex
 Bells palsy
 6 cardinal gaze test
 Accommodation
 Cloudy lens (cataracts)
 central vision loss (macular degeneration)
 eye pain (glaucoma) open vs closed angle glaucoma presentatioin


🩸 Mouth & Throat
 Tongue: Red/smooth, white patches, gingivitis, herpes
 Tonsil grading 1+ to 4+