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Transcript of Heent and neck
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Introduction to Clinical Skills
HEENT and Neck
Universidad Iberoamericana UNIBE
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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
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Introduction to Clinical Skills
Head Exam Skull Face Eyes Ears Nose Paranasal Oral cavity, Pharynx and Larynx
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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
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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
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Introduction to Clinical Skills
Head Exam. Health Promotion and Counseling Changes in vision:
Cataracts,glaucoma, macular degeneration Hearing loss Oral health
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Introduction to Clinical Skills
Head Exam. Techniques of Examination The Hair
Quantity Distribution Texture Pattern of loss Flakes of dandruff
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Introduction to Clinical Skills
Head Exam. Techniques of Examination The Scalp
Scaliness Lumps Nevi Other lesions
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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
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Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face
Facial expression and contours Asymmetry Involuntary movements Edema Masses TMJ
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Introduction to Clinical Skills
Head Exam. Techniques of Examination
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Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face
Craneal nerves V and VII
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Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face palpation
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Introduction to Clinical Skills
Head Exam. Techniques of Examination The Face
Temporomandibular joint
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Introduction to Clinical Skills
Head Exam. Techniques of Examination The Skin
Color Pigmentation Texture Thickness Hair distribution Any lesion
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Introduction to Clinical Skills
Head Exam. The Eyes Anatomy
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Introduction to Clinical Skills
Head Exam. The Eyes Anatomy
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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
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Introduction to Clinical Skills
Head Exam. The Eyes Visual acuity
Snellen chart Position patient 20 feet from the chart
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Introduction to Clinical Skills
Head Exam. The Eyes Visual fields
Temporal Nasal
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Introduction to Clinical Skills
Head Exam. The Eyes Position and Alignment Eyebrows
Quantity, distribution Eyelids
Width palpebral fissure Color
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Introduction to Clinical Skills
Head Exam. The Eyes Conjunctiva, Sclera and palpebral conjunctiva
Color Vascular pattern
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Introduction to Clinical Skills
Head Exam. The Eyes Cornea and Lens Iris Pupils
Size Shape Symmetry Reaction to light
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Introduction to Clinical Skills
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Introduction to Clinical Skills
Head Exam. The Eyes Extraocular Muscles
Normal conjugate movements Nystagmus Lid Lag Test for Convergence
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Introduction to Clinical Skills
Head Exam. The Eyes Ophthalmoscopic Exmination
Fundi Optic disc and cup Macula Retinal vessels
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Introduction to Clinical Skills
Head Exam. The Ears The Auricle Ear canal and Drum Auditory Acuity Air and Bone Conduction
Weber Test Rinne Test
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Introduction to Clinical Skills
Head Exam. The Ears The Auricle
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Introduction to Clinical Skills
Head Exam. The Ears Ear canal and Drum
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Introduction to Clinical Skills
Head Exam. The Ears Ear canal and Drum
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Introduction to Clinical Skills
Head Exam. The Ears Auditory Acuity
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Introduction to Clinical Skills
Head Exam. The Ears The Air and Bone Conduction
Weber Test
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Introduction to Clinical Skills
Head Exam. The Ears The Air and Bone Conduction
Rinne Test
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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
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Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Inspect anterior and inferior surfaces (symmetry)
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Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Nasal vestibule
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Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Test for nasal obstruction
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Introduction to Clinical Skills
Head Exam. The Nose Examination Techniques
Rhinoscopic exam Nasal mucosa Nasal septum
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Introduction to Clinical Skills
Head Exam. Paranasal Sinuses Examination Techniques
Palpation and percussion of the Sinuses Transillumination
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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
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Lips
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Oral Mucosa
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Gums and Teeth
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Roof of the Mouth
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Tongue and Floor of the Mouth
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Tongue and Floor of the Mouth
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Tongue and Floor of the Mouth
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Oropharynx
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Introduction to Clinical Skills
Head Exam. The Oral Cavity, Pharynx and Larynx Examination Techniques: The Larynx
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Introduction to Clinical Skills
The Neck Exam Landmarks
C6, C7 Triangles
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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
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Introduction to Clinical Skills
Neck Exam. Techniques of Examination General Inspection
Symmetry Masses Scars
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Introduction to Clinical Skills
Neck Exam. Techniques of Examination Lymph nodes
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Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Trachea and Thyroid gland
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Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Trachea and Thyroid gland
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Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Carotid Arteries and Jugular Veins
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Introduction to Clinical Skills
Neck Exam. Techniques of Examination The Brachial Plexus
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Introduction to Clinical Skills
Neck Exam. Techniques of Examination ROM
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Introduction to Clinical Skills