Introduction to Clinical Skills
HEENT and Neck
Universidad Iberoamericana UNIBE
Introduction to Clinical Skills
Teaching Staff Dra Elizabeth Peralta Dr Marcos Núñez Dra Cristina Páez C Dr Juan Carlos Mariñez Dra Wayna Greo Dra Yun Pey Lee
Introduction to Clinical Skills
Head Exam Skull Face Eyes Ears Nose Paranasal Oral cavity, Pharynx and Larynx
Introduction to Clinical Skills
Approach to the Physical Exam What we need to do it ?
Penlight Sthetoscope Sphygmomanometer HEENT set Goniometer Tune fork Hammer Pinwheel Measure tape Gloves Isopropilic Alcohol
Introduction to Clinical Skills
Head Exam. The Health History Headaches How is your vision ? Do yoy wear glasses ? How is your hearing ? Rhinorrea , Epsitaxis ? Sore Throat Hoarseness
Introduction to Clinical Skills
Head Exam. Health Promotion and Counseling Changes in vision:
Cataracts,glaucoma, macular degeneration Hearing loss Oral health
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Hair
Quantity Distribution Texture Pattern of loss Flakes of dandruff
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Scalp
Scaliness Lumps Nevi Other lesions
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Skull
General size and contour Deformities, depressions, lumps, tenderness Irregularities in normal skull
Between parietal and occipital bones
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face
Facial expression and contours Asymmetry Involuntary movements Edema Masses TMJ
Introduction to Clinical Skills
Head Exam. Techniques of Examination
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face
Craneal nerves V and VII
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face palpation
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face
Temporomandibular joint
Introduction to Clinical Skills
Head Exam. Techniques of Examination The Skin
Color Pigmentation Texture Thickness Hair distribution Any lesion
Introduction to Clinical Skills
Head Exam. The Eyes Anatomy
Introduction to Clinical Skills
Head Exam. The Eyes Anatomy
Introduction to Clinical Skills
Head Exam. The Eyes Important areas of Examination
Visual acuity Visual fields Conjunctiva and sclera Cornea, lens and pupils Extraocular movements
Introduction to Clinical Skills
Head Exam. The Eyes Visual acuity
Snellen chart Position patient 20 feet from the chart
Introduction to Clinical Skills
Head Exam. The Eyes Visual fields
Temporal Nasal
Introduction to Clinical Skills
Head Exam. The Eyes Position and Alignment Eyebrows
Quantity, distribution Eyelids
Width palpebral fissure Color
Introduction to Clinical Skills
Head Exam. The Eyes Conjunctiva, Sclera and palpebral conjunctiva
Color Vascular pattern
Introduction to Clinical Skills
Head Exam. The Eyes Cornea and Lens Iris Pupils
Size Shape Symmetry Reaction to light
Introduction to Clinical Skills
Introduction to Clinical Skills
Head Exam. The Eyes Extraocular Muscles
Normal conjugate movements Nystagmus Lid Lag Test for Convergence
Introduction to Clinical Skills
Head Exam. The Eyes Ophthalmoscopic Exmination
Fundi Optic disc and cup Macula Retinal vessels
Introduction to Clinical Skills
Head Exam. The Ears The Auricle Ear canal and Drum Auditory Acuity Air and Bone Conduction
Weber Test Rinne Test
Introduction to Clinical Skills
Head Exam. The Ears The Auricle
Introduction to Clinical Skills
Head Exam. The Ears Ear canal and Drum
Introduction to Clinical Skills
Head Exam. The Ears Ear canal and Drum
Introduction to Clinical Skills
Head Exam. The Ears Auditory Acuity
Introduction to Clinical Skills
Head Exam. The Ears The Air and Bone Conduction
Weber Test
Introduction to Clinical Skills
Head Exam. The Ears The Air and Bone Conduction
Rinne Test
Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Inspect anterior and inferior surfaces (symmetry) Nasal vestibule Test for nasal obstruction Rhinoscopic exam
Nasal mucosa Nasal septum
Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Inspect anterior and inferior surfaces (symmetry)
Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Nasal vestibule
Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Test for nasal obstruction
Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Rhinoscopic exam Nasal mucosa Nasal septum
Introduction to Clinical Skills
Head Exam. Paranasal Sinuses Examination Techniques
Palpation and percussion of the Sinuses Transillumination
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques The Lips The Oral mucosa The Gums and Teeth The Roof of the Mouth The Tongue and The Floor of the Mouth The Pharynx The Larynx
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Lips
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Oral Mucosa
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Gums and Teeth
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Roof of the Mouth
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Tongue and Floor of the Mouth
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Tongue and Floor of the Mouth
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Tongue and Floor of the Mouth
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Oropharynx
Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Larynx
Introduction to Clinical Skills
The Neck Exam Landmarks
C6, C7 Triangles
Introduction to Clinical Skills
Neck Exam. Techniques of Examination General Inspection
Symmetry Masses Scars
Lymph nodes The Trachea and Thyroid gland The Carotid Arteries and Jugular Veins The Barchial Plexus ROM
Introduction to Clinical Skills
Neck Exam. Techniques of Examination General Inspection
Symmetry Masses Scars
Introduction to Clinical Skills
Neck Exam. Techniques of Examination Lymph nodes
Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Trachea and Thyroid gland
Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Trachea and Thyroid gland
Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Carotid Arteries and Jugular Veins
Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Brachial Plexus
Introduction to Clinical Skills
Neck Exam. Techniques of Examination ROM
Introduction to Clinical Skills
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