Shadow Health - HEENT Tina Jones
Inspect head and face skull symmetry: symmetric
facial feature symmetry: symmetric
appearance: Papules, pustules, or comedones
Inspect eyes and orbital area orbital area: No visible abnormal findings
sclera: White
conjunctiva: Moist and pink
conjunctival discharge: No discharge
Inspect nasal cavitiescolor: Pink
discharge: No discharge
turbinate patency: Patent
observations: No additional visible abnormal findings
Inspect ears right auditory canal color: Pink
right tympanic membrane color: Pearly gray
right tympanic membrane appearance: No visible abnormal findings
right cone of light: 5:00
right discharge: No discharge
left auditory canal color: Pink
left tympanic membrane color: Pearly gray
left tympanic membrane appearance: No visible abnormal findings
left cone of light: 7:00
left discharge: No discharge
Inspect mouth and throat oral mucosa: Moist and pink
throat color: Pink
throat texture: No abnormal findings
tonsils: No visible abnormal findings
post nasal drip: No discharge
, Inspect neck symmetry: Symmetric
appearance: Discoloration
Palpated scalp observations: o additional abnormal findings
tenderness: None reported
Palapated sinuses frontal: None reported
maxillary: None reported
Palpated carotid arteries right vibration: No thrill
right intensity: 2+ Expected
left vibration: No thrill
left intensity: 2+ Expected
Palpated jaw observations: No palpable abnormal findings
Palpated lymph nodes head and neck: No palpable nodes
supraclavicular: No palpable nodes
axillary: No palpable nodes
Palpated thyroid gland observations: No palpable abnormal findings
tenderness: None reported
Auscultated carotid arteries right: No bruit
left: No bruit
Tested pupillary reaction observations with penlight: No visible abnormal findings
(PERRL)
Tested extraocular movement cardinal fields: No abnormal findings
convergence: No abnormal findings
Tested peripheral vision observations: No abnormal findings
Examined fundus with ophthalmoscope right retina: Cotton wool bodies
right disc margin: Sharp
left retina: No visible abnormal findings
left disc margin: Sharp
Tested visual acuity right: 20/40
Inspect head and face skull symmetry: symmetric
facial feature symmetry: symmetric
appearance: Papules, pustules, or comedones
Inspect eyes and orbital area orbital area: No visible abnormal findings
sclera: White
conjunctiva: Moist and pink
conjunctival discharge: No discharge
Inspect nasal cavitiescolor: Pink
discharge: No discharge
turbinate patency: Patent
observations: No additional visible abnormal findings
Inspect ears right auditory canal color: Pink
right tympanic membrane color: Pearly gray
right tympanic membrane appearance: No visible abnormal findings
right cone of light: 5:00
right discharge: No discharge
left auditory canal color: Pink
left tympanic membrane color: Pearly gray
left tympanic membrane appearance: No visible abnormal findings
left cone of light: 7:00
left discharge: No discharge
Inspect mouth and throat oral mucosa: Moist and pink
throat color: Pink
throat texture: No abnormal findings
tonsils: No visible abnormal findings
post nasal drip: No discharge
, Inspect neck symmetry: Symmetric
appearance: Discoloration
Palpated scalp observations: o additional abnormal findings
tenderness: None reported
Palapated sinuses frontal: None reported
maxillary: None reported
Palpated carotid arteries right vibration: No thrill
right intensity: 2+ Expected
left vibration: No thrill
left intensity: 2+ Expected
Palpated jaw observations: No palpable abnormal findings
Palpated lymph nodes head and neck: No palpable nodes
supraclavicular: No palpable nodes
axillary: No palpable nodes
Palpated thyroid gland observations: No palpable abnormal findings
tenderness: None reported
Auscultated carotid arteries right: No bruit
left: No bruit
Tested pupillary reaction observations with penlight: No visible abnormal findings
(PERRL)
Tested extraocular movement cardinal fields: No abnormal findings
convergence: No abnormal findings
Tested peripheral vision observations: No abnormal findings
Examined fundus with ophthalmoscope right retina: Cotton wool bodies
right disc margin: Sharp
left retina: No visible abnormal findings
left disc margin: Sharp
Tested visual acuity right: 20/40
