After performing a Vital Signs examination on a patient, usually the next step for a doctor is performing the HEENT. HEENT stands for Head, Eye, Ear, Nose and Throat. This is basically the first big step in a general physical examination. Like other parts of the general physical examination, it begins with inspection, then proceeds to palpation. Andrew Lockman, from the Department of Family Medicine, also teaches doctors in this video about the required use of several special instruments in order to inspect the eyes and ears, and special techniques to assess their special sensory function.
For a full lesson on the Head, Eye, Ear, Nose and Throat examination, go to University of Virginia's School of Medicine Interactive Learning Module. This module reviews some of the relevant surface anatomy and describes the basic HEENT exam. The module includes an introduction to use of the ophthalmoscope. The learning objectives for this course are:
1. Identify anatomic landmarks of the head, neck, ear, nose mouth and throat.
2. Describe the physical examination techniques for routine evaluation of the head, neck, eye, ear, nose and throat.
3. Describe the physical examination techniques to distinguish types of hearing loss.
4. Describe normal findings of the head, neck, ear, nose and throat exam.