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Thyroid Gland - 2
Cellular metabolism
Growth and Development
Examination (Head/Face) - 7
Perform hand hygeine
Inspect head
Inspect face
palpate structures of the skull
palpate face and jaw
palpate temporal arteries
auscultate the temporal arteries for bruit
Examination (Neck) - 4
Inspect the neck
Estimate ROM
Access neck muscle strength
Palpate neck
Teaching Opportunities - HEENT - 5
prevention of trauma
prevention of infection
treatment of infection
risk of cancers
reportable symptoms
Race
Head - facials
Eyes - eyelid configuration
Ears - cerumen color and consistency
Infants
Head - shape
Eyes - watery discharge
Ears - alignment and “DOWN and back”
Mouth - 20 teeth and tonsil enlargement is normal
Elderly
Head - gray and thin
Eyes: loss of acuity
Ears - presbycusis
Mouth - loss of teeth and weak voice
Neck - thyroid problems
Cornea - 2
transmits light from lens to retina
transparent
Uvea - 1
supplies retina w/ blood
Equipment (Eyes) - 5
Ophthalmoscope
Penlight
Snellen or E Chart
Handheld Vision Screener (Rosenbaum)
Cover Card
Examination (Eyes) - 9
Test Visual Acuity (distance and near)
Assess peripheral vision
Inspect eyebrows, eyelids, and eyelashes
Inspect conjuctivia
Inspect Corneal Light via Hirschburg Test
Inspect Sclera
Inspect cornea
Inspect Iris
Inspect Pupils
Cyanosis
white: grayish blue
black: ashen-gray easily seen in conjunctiva, oral mucous membranes, nail beds
Ecchymosis
white: red, purple, green, yellow
black: blue to black; difficult to see
Erythema
white: red w increased skin temp
black: brown to purple w increased skin temp
Jaundice
white: yellow sclera, nails, palms, and oral mucosa
black: yellowish-green seen in sclera, soles, and feet
Pallor
white: pale
black: yellowish-brown: ashen
Petechiae
White: small and red-purple pinpoints
Black: evident to buccal mucosa of the mouth or sclera; difficult to see
Rash
White: may be visualized and felt w light palpation
Black: no easily visualized but may be felt w light palpation
Scar
Scar: narrow scar line
Black: frequently as keloid dev. (thick and raised)