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Where is the deep cervical lymph nodes and how do you palpate them?
- Under SCM
- Palpate by having pt bend neck ear to shoulder on same side as node to relax muscle, then palpate under loose muscle.
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Where is the supraclavicular lymph node and what does it mean if its enflamed?
- Just above the clavicle
- Inflamation=chest congestion.
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What are some things to note about palpable lymph nodes?
- location, size, shape, tender/nontender, quantity.
- Nontender worse than tender, irregular worse than regular, fixed worse than movable.
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How do you treat an enlarged parotid gland that has gotten stuck (very painful)
Give lemon drops. Will stimulate gland and should release.
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What is Grave's Disease and what causes it?
- Large, bulging eyes.
- Cause by over active thyroid
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What is Cushing's Disease and how can it be caused?
- Moon faced. Face is unusually round.
- Caused by over production/administration of corticosteroids.
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What is Bell's Palsy and how is it caused?
- Mobility in only half of face.
- Caused by a compromise to cranial nerve (CN) 7.
- Mimics facial abnormalities associated with stroke.
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How would you describe a "Cachectic Appearance?"
"Wasting disease." Thin, loss of color, vitality.
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What is Scleroderma?
- Hardening of connective tissue. Can be seen in and around eyes-->asphyxiation because connective tissue also connects to lungs.
- Skin will be stiff and unpliable.
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How do you test for CNIX function
Shoulder shrug against resistence.
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Locations of glands and lymph nodes...
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Name and location of cranial bones...
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