Examination of the head, eyes, ears, nose and throat (HEENT) system
The examination of the HEENT system includes the head, eyes, ears, nose and throat.
• You may need an ABCDE assessment (Resuscitation Council (UK), 2006) and give analgesia before you can proceed with your examination
• HEENT presentations may be indicators of systemic disease; refer to Table A on page 18 to gain a holistic history
• The age, gender and occupation of the patient may influence both probability of a diagnosis and compliance with treatment plans
• Associated symptoms for exploration: nausea, vomiting, change in vision, hearing, voice, headache, epistaxis, tinnitus, vertigo, temperature and exposure to chemicals
• Be aware of red flag markers such as headache, vision changes, diplopia, changes in hearing, tinnitus, vertigo, epistaxis, hoarseness, swollen glands or goitre.