EENT - Health Assessment

Diplopia

Double vision

Scotomas

Area of vision loss

Strabismus

Misalignment

Photophobia

Light sensitivity

Glaucoma

Optic nerve damage often from high eye pressure

Cataracts

Cloudy lens opacity

Macular degeneration

Age related effects to retina and central vision

Conjunctivitis

Pink eye

Inflammation of infection of the eye

Tinnitus

Ringing

Vertigo

Room spinning

Rhinorrhea

Discharge of mucus from the nasal passage (runny nose)

Epistaxis

Bleeding of the nose tissue (nosebleed)

Dysphagia

Difficulty swallowing

Odynophagia

Painful swallowing

Ears

CN VIII

Eyes

CN II, III, IV, VI

Nose

CN I

Throat

CN IX, X, XII

Sclera

Pupil

Lens

Cornea

Retina

Optic nerve (CN II)

Superior oblique

Inferior oblique

Superior rectus

Inferior rectus

Lateral rectus

Medial rectus

Conductive Hearing Loss

Impairment of either the outer, middle, or even both parts of the ear, obstructing the transmission of sound to reach the ossicles

More amplitude of sound and usually allow sound to reach the inner ear

Sensorineural Hearing Loss

Impairment of the inner ear, leading to not being able to understand speech. This impairment can either be resulted from the vestibulocochlear nerve or the entire inner ear in general.

Weber test

Test equal lateralization of hearing by using a tuning fork and placing it on the top of the head or mid-forehead.

Rinne test

Tests sound through air conduction and bone conduction. Normally, air conduction should last longer than bone conductive.

Cerumen

Waxy substance secreted in the ear canal

Outer Ear

Helix, anti-helix, pinaa/auricle, lobule, tragus

Middle Ear

Ear canal, tympanic membrane (eardrum), ossicle (malleus, incus, stapes)

Inner Ear

Semicircular canal, cochlea, vestibular nerve, eustachian tube

External Nose

Bridge, ala nasi, vestibule 

Internal Nose

Superior turbinate, middle turbinate, inferior turbinate, vestibule, nasopharynx, opening to the eustachian tube

Sinuses

Frontal and maxillary sinus

Otitis media

Inflammation of the middle ear, the space behind the eardrum

Mouth

Comprised of the hard/soft palate, uvula, tonsils

Candidiasis

Fungal infection caused by an overgrowth of Candida yeast

Visible tonsils

+1

Between tonsillar pillars/uvula

+2

Touching uvula

+3

Tonsils touching each other

+4

Esotropia

Exotropia

Hypertropia

Hypotropia

Chalazion

Stye

Anisocoria

Difference in pupil shape by <1 mm in diameter

Hemianopsia

Unable to see half of visual field

Nystagmus

Involuntary, rhythmic eye movement 

Jaundice

Can cause the sclera to appear yellow

Visual Fields

Superior Temporal/Nasal

Inferior Temporal/Nasal

Presbyopia

Age-related condition that affects the eyes’ ability to focus on near objects

Cranial Nerves responsible for Cardinal field of gaze

CN III, IV, VI

Distal Visual Acuity Test

Use of Snellen eye chart

Near Visual Acuity Tests

Rosenbaum or Jaeger chart

Peripheral Visual Acuity Test

Confrontation test (the wiggle dinger test that tests the patients blind spots/peripheral vision)

Consensual

When light is flashed in one eye and the other pupil constricts 

Whisper test

Stand behind the patient and whisper a sequence with 3 numbers/letters and then ask the patient to repeat what they heard