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1. Inspect Eye tearing: due to
Palpate irritants, allergies Eye
Percussion drainage: infection or
Auscultatio allergies
n Eye appearance
Function - specific techniques for changes:trauma, infec-
that area
Documentation of area
2. Size
Shape
Symmet
ry
Position
Texture and distribution of hair
3. Head for masses,
tenderness Scalp mobility
4. Normocephal
ic Atraumatic
5. Review of systems question
Inspect external structures and oph-
thalmic exam
Palpate lacrimal duct
Function - central and peripheral
vision Pupil reaction
6. Vision loss
Diplopia due to CN, cerebellum,
extraoc- ular muscles
,Advanced Health Assessment – HEENT Question and answers
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Systematic assessment of HEENT
Head and scalp inspection
Head and scalp palpation
Documentation of the head
Eyes assssment
History of present health concern
,Advanced Health Assessment – HEENT Question and answers
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tion
Eye pain: trauma, retinal detachment
Blurred vision: near/far
Dry eyes
Ptosis
7. Diplopia Double vision
8. Drooping of the eye Iris - color, size, shape,
Can be due to symmetry
swelling
Can have this due to a neurological
con- dition, stoke etc.
9. Lids and lashes - color lesions,
edema, symmetry, position and
distribution of lashes
Lacrimal glands and ducts - color,
edema, excessive, testing or
drainage
Conjunctiva - color, moisture,
lesions, and foreign bodies
Sclera (should be white) - color,
moisture, lesions, or tears
Cornea - clarity and abrasions,
corneal re- flex
Anterior chamber - clarity, bulging
iris, and blood
, Advanced Health Assessment – HEENT Question and answers
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Ptosis
Inspection of external structures