Evaluation and Management of HEENT
Examination of HEENT
A HEENT examination entails a physical examination of the head, eyes, ears, nose, and throat. The examination of the head involves a physical inspection and palpation of the scalp for lesions, parasites, trauma, and tenderness. The examination of the eyes involves an inspection for visual acuity, peripheral vision, extraocular movements, and ophthalmoscopy. On the other hand, the examination of the ear involves an external inspection of the auditory canal and auricle whereas an examination of the nose involves an external inspection for signs of running or abnormalities. An examination of the throat involves the inspection and palpation of the oral cavity and oropharynx.
Differential Diagnosis
A differential diagnosis assists in the identification of disorders that exhibit similar symptoms. The collection of initial information concerning patient medical history and symptoms is vital. Considering that the patient suffers a strep throat, the differential diagnosis will focus on causes of the condition such as the infection of the pharynx by bacteria and viruses. Furthermore, other conditions such as gastroesophageal influx, allergies, and thyroiditis are also known to cause a strep throat.
Role of Patient Information
The diagnosis and treatment management of throat disorder relies on information derived from the physical examination and the patient’s history. Patient information is a clinician-intensive component of an encounter with a patient.
Potential Treatment Options
Considering that the strep throat could have been caused by bacteria or a viral infection, a standard antibiotic treatment is most suitable. Antibiotics such as Amoxicillin and Penicillin are the most ideal treatment options for the patient. However, taking into consideration that the patient is allergic to Penicillin, Amoxicillin remains the most viable treatment option.