Heent Assessment

HEENT assessment includes examination of the eyes, ears, nose, throat, and neck. The examiner looks for any abnormalities in these areas.

Eyes: The examiner looks for any redness, swelling, discharge, or other abnormalities in the eyes.

Ears: The examiner checks for any redness, swelling, discharge, or other abnormalities in the ears.

Nose: The examiner checks for any congestion, discharge, or other abnormalities in the nose.

Throat: The examiner looks for any redness, swelling, soreness, or other abnormalities in the throat.

Neck: The examiner checks for any tenderness, lumps, or other abnormalities in the neck.

HEENT Assessment Questions

1. What is the patient’s chief complaint?
2. What are the patient’s current symptoms?
3. What is the patient’s past medical history?
4. What is the patient’s family medical history?
5. What medications does the patient currently take?
6. What allergies does the patient have?
7. What is the patient’s social history? (Including smoking, alcohol, and drug use)
8. What is the patient’s diet like? (Including any special dietary needs or restrictions)
9. Does the patient have any pets or animals at home? If so, what kind and how many?
10. Does the patient have any environmental allergies or sensitivities? (Including dust, pollen, mold, etc.)
11. What is the patient’s current living situation? (Do they live alone, with family, in a nursing home, etc.)
12. What is the patient’s level of activity? (Are they bed-ridden, able to ambulate on their own, etc.)
13. Is the patient currently pregnant or breastfeeding? If so, how far along are they?
14. Does the patient have any history of mental illness or cognitive impairment? If so, please explain.
15. Does the patient have any other medical conditions that we should be aware of? If so, please explain.
16. Is the patient taking any medications? If so, please list them.
17. Does the patient have any allergies to medications? If so, please list them.
18. What is the patient’s current smoking status? (Do they smoke, used to smoke, never smoked) How much do they smoke per day?
19. What is the patient’s current alcohol consumption? (Do they drink, used to drink, never drank) How much do they drink per day?
20. Has the patient ever used recreational drugs? If so, please list them and when they were last used.

 

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