คำศัพท์ทางการแพทย์HEENT
Skin : smooth texture no petichiae, no rash, no lesion, good skin turgor.
Head & Scalp : normal shape and size, no scar. Hair normal texture and distribution.
Face : symmetry , parotid gland not enlarge. No sinus tenderness.
Eyes : normal shape and size. Normal vision. Conjunctiva not pale, no juandice.
Ear : normal shape and size, no discharge. Normal hearing.
Nose : normal shape, no discharge. No bony tenderness.
Mouth and Throat : gingival pink in color, no lesions gum, no dental caries. Tonsil and pharynx not injected. Tonsil not enlarged.
Neck : no neck vein engorgement. Trachea in midline. No stiffness neck.
Lymph node : lymph node not palpable.
Breast : symmetrical breast size, no mass, no discharge.
Thorax and Lung : normal shape and symmetry. Normal breathing movements. Lung clear.
Heart : normal heart sound. No murmur. . Apex beat can palpable at 5 th ICS
Abdomen : normal shape. Normal bowel sound. Abdominal flat and wall soft , mild tender at umbilical area, no rebound tenderness , no mass. Liver and spleen not palpable.
Genitalia : no examination.
Rectal : no external hemorrhoid, no lesion , sphincter good tone.
Peripheral vascular and Extremities : no deformity, no pitting edema.
Musculoskeletal : muscle power grade 5.
Nervous system : good conscious. Motor power and tone normal, well coordination.