Loyola University Medical Education Network Patient Centered Medicine 2
HEENT Examination: Abnormals

 February 5, 2013 - Lecture: 1:15pm/LH190
                                 Dr. Stankiewicz

Required equipment for Small Group: EKG calipers and otoscopes.

Small Group Session: Immediately following the lecture, SDLs, Shared Classrooms, or CSC (330)

  1. Briefly review the relevant normal anatomy of the head and neck as it relates to the physical examination.
  2. Explain the technique of HEENT physical examination.
  3. Discuss the general implications of abnormal findings upon head and neck exam.
  4. Recognize abnormal findings and pathology.
Student Readings:
  • Bates' Guide to Physical Examination and History Taking
    8th Ed. 123-136, 138-142, 192-208
    9th Ed. 160-171, 172-176, 226-239
    10th Ed. 222-242, 268-281
  • The Only EKG Book You'll Ever Need,  Thaler, Chapter 6 (4th, 5th, 6th, and 7th editions)

    Radiology and EKGs

    1. Radiology
    1. Interpret  EKGs:  23 - 26
Small Group Session Objectives Teaching Methods
  1. Describe the relevant anatomy and physiology of the ear, mouth, neck and thyroid.
  2. Recognize abnormal anatomy and pathology
Lecture to the entire class
1.  Recognize abnormal findings from the head and neck exam

2.  Students present case presentations to small group from patients assigned by their preceptors
3.  Students will identify and list the pertinent positives and negatives from cases presented by students.
4.  Students will write admitting orders from cases presented by students.
5.  Students will develop an assessment and three-part plan for the cases presented by students.
6.  Students will interpret assigned Radiology Case(s): ZZSSOM,pt04, ZZSSOM,pt17
7.  Students will interpret assigned EKGs: 23-26

Small group session:
  1. Brief Q& A of the major concepts learned from the readings and lecture
  2. Use ear simulators to identify abnormal findings in Clinical Skills Rooms.
  3. Two to three students present H&Ps reviewed with their preceptors. After each case presentation, students will:
  • create a problem list
  • list pertinent positives and negatives
  • create an assessment and 3-part plan for each problem
  • write admitting orders for this patient
Last Updated: 02/04/13
Created: 08/24/1998