-HEENT: Head : normal shape and size , Eyes : conjunctiva not pale , no icteric sclera , Ears : no discharge, good hearing , Face : symmetrical , appropriate facial expression , Nose: mucosa pale , no bleeding , sinuses no tenderness. Thraot&Mouth : no glossitis , buccal mucosa and gingival not pale, Pharynx and Tonsils not injected .