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FDM Training Program – Lesson 6: Part III: Head & Neck
Wayne L. Sodano, D.C., D.A.B.C.I. & Ron Grisanti, D.C., D.A.B.C.O., M.S.
©Sequoia Education Systems, Inc.
http://www.FunctionalMedicineUniversity.com 1
Module 1 * Lesson 6
Physical Exam & Associated Pathology
Part III – Head & Neck
Dr. Wayne L. Sodano, D.C., D.A.B.C.I.
&
Dr. Ron Grisanti, D.C., D.A.B.C.O., M.S.
Integrative Clinical AssessmentIncludes: Body, Mind, and Spirit
Functional Physical ExamDiagnostic Studies
Labs & Imaging
Assessment and
diagnosis
Treatment Plan
Refer Co-Management Treat & Educate
Follow up, re-evaluate, and modify
treatment plan as necessary
Patient History
FDM Training Program – Lesson 6: Part III: Head & Neck
Wayne L. Sodano, D.C., D.A.B.C.I. & Ron Grisanti, D.C., D.A.B.C.O., M.S.
©Sequoia Education Systems, Inc.
http://www.FunctionalMedicineUniversity.com 2
• Headache
• Change in vision; hyperopia, presbyopia, myopia,
scotomas
• Double vision, or diplopia
• Hearing loss, earache, tinnitus
• Vertigo
• Nosebleed, or epistaxis
• Sore throat, hoarseness
• Swollen glands
• Goiter
• Hair
• Scalp
• Skull
• Face
• Skin
www.nlm.nih.gov/medlineplus
FDM Training Program – Lesson 6: Part III: Head & Neck
Wayne L. Sodano, D.C., D.A.B.C.I. & Ron Grisanti, D.C., D.A.B.C.O., M.S.
©Sequoia Education Systems, Inc.
http://www.FunctionalMedicineUniversity.com 3
• Vision
• Hyperopia
• Presbyopia
• Myopia
http://faculty.washington.edu/chudler/glaucoma.html
Circulation of Aqueous Humor
• Visual acuity
• Visual fields
• Conjunctiva and sclera
• Cornea, lens, and pupils
• Extraocular movements
• Fundi, including:
• Optic disc and cup
• Retina
• Retinal vessels
FDM Training Program – Lesson 6: Part III: Head & Neck
Wayne L. Sodano, D.C., D.A.B.C.I. & Ron Grisanti, D.C., D.A.B.C.O., M.S.
©Sequoia Education Systems, Inc.
http://www.FunctionalMedicineUniversity.com 4
Horizontal
Section of
the Eye
©Elsevier, Inc. – Netterimages.com
Fundus of the EyeOphthalmoscopic view of the retina
©Elsevier, Inc. – Netterimages.com
Macula and fovea
centralis
Optic disc
Interactive fundoscopic exam:
www.familymedicine.osu.edu/products/physicalexam/exam
Note
crescent
shadow
Illustration of the iris
Normal
Light source Light source
Abnormal
FDM Training Program – Lesson 6: Part III: Head & Neck
Wayne L. Sodano, D.C., D.A.B.C.I. & Ron Grisanti, D.C., D.A.B.C.O., M.S.
©Sequoia Education Systems, Inc.
http://www.FunctionalMedicineUniversity.com 5
The Ear
©Elsevier, Inc. –
Netterimages.com
Pathways of Hearing
www.nlm.nih.gov/medlineplus
Short process of malleusHandle of malleus
Umbo
Cone of light
Pars flaccida
Incus
Pars tensa
Right Eardrum
www.entusa.com/ear_photographs
FDM Training Program – Lesson 6: Part III: Head & Neck
Wayne L. Sodano, D.C., D.A.B.C.I. & Ron Grisanti, D.C., D.A.B.C.O., M.S.
©Sequoia Education Systems, Inc.
http://www.FunctionalMedicineUniversity.com 6
www.nlm.nih.gov/
• Rhinorrhea
• Deviated nasal septum, foreign body, or tumor
• Epistaxis
www.nlm.nih.gov/medlineplus
FDM Training Program – Lesson 6: Part III: Head & Neck
Wayne L. Sodano, D.C., D.A.B.C.I. & Ron Grisanti, D.C., D.A.B.C.O., M.S.
©Sequoia Education Systems, Inc.
http://www.FunctionalMedicineUniversity.com 7
www.nlm.nih.gov/medlineplus
The Neck
Physical Exam & Associated Pathology
Module 1 * Lesson 6
Part IV: Cardiovascular & Peripheral System
