Ears, Eyes, Nose, Mouth, Throat check off

3 sections for inspecting internal eye

General shape, size, symmetry of eyes, brows, lids

eye alignment

conjunctiva and sclera

3 sections for inspecting interior eye

check pupillary light reflex

test accommodation

1 section for testing visual acuity

4 sections for inspecting external ear

size, shape, and skin of auricle

position and alignment on head

check movement of auricle and tragus for tenderness

inspect external auditory meatus for swelling, redness, discharge, cerumen

4 sections for inspecting internal ear

pull pinna up and back and hold otoscope correctly

with otoscope, inspect for cerumen, discharge, and foreign bodies

with otoscope, inspect canal wall for redness, swelling, and lesions

with otoscope, inspect tympanic membrane for color, position, integrity

3 steps for testing hearing acuity

note behavioral response to conversational speech

ask if difficulty hearing

whisper test

6 sections for nose

inspect external nose for symmetry, deformity, or lesions

assess patency of nostril

with otoscope, note color and integrity of nasal mucosa

with otoscope, note color, exudate, or polyps on turbinate

palpate sinus area and note tenderness

5 sections for mouth and throat

inspect with penlight and tongue blade

note color and intactness of lips, teeth, gums, tongue and buccal mucosa

note integrity and mobility of palate and uvula as patient phonates

grade tonsils

note color, exudate, and lesions of pharyngeal wall