Health Assessment mid-term: head and neck assessment

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jam110007
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205440
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Health Assessment mid-term: head and neck assessment
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2013-03-06 18:22:28
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Health Assessment mid term head neck assessment
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Health Assessment mid-term: head and neck assessment
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  1. head structures
    • - cranial bones
    • - sutures
    • - facial bones
    • - facial muscles
  2. bones of face and cranium 
    • - coronal suture
    • - frontal bone
    • lacrimal bone
    • - nasal bone
    • - nasal septum 
    • - maxilla
    • - zygomatic bone
    • - mandible
    • - sagittal suture 
    • - parietal bone
    • lambdoid suture
    • temporal bone
    • - sphenoid bone
    • occipital bone
    • - temporomandibular bone 
    • - external acoustic meatus
    • - mastoid process
  3. anatomy of sinus
    • - frontal sinus
    • - ethmoid sinus
    • - maxillary sinus
  4. sinusitis
    imflamation of paranasal sinus
  5. salivary glands
    • - submandibular
    • - sublingual
    • - parotid
  6. the neck consists of what?
    • - neck muscles
    • - anterior and posterior triangles 
    • - thyroid gland
  7. muscle of the neck
    • - sternomastoid
    • - trapezius
    • - omohyoid muscle clavicle 
    • - anterior triangle
    • - posterior triangle
  8. lymph nodes of the neck and head
    • - preauricular 
    • - posterior auricular
    • - occipital 
    • - submental 
    • - submandibular
    • - Jugulodigastric
    • - Superficial cervical
    • - Deep cervical
    • - Posterior cervical
    • - Supraclavicular
  9. lymph node location: Preauricular
    in front of tragus
  10. lymph node location: Posterior auricular
    behind helix
  11. lymph node location: Occipital
  12. lymph node location: submental
    chin area, under chin
  13. lymph node location: submandibular
    along the jaw ling. closer to neck than submental
  14. lymph node location: jugulodigastric
    under angle of the mandible
  15. lymph node location: superficial cervical
    hidden under sternochloimastoid
  16. lymph node location: deep cervical
    hidden under muscle
  17. lymph node location: posterior cervical
    along trapezius
  18. lymph node location: supraclavicular
    on clavicle
  19. lymph node drainage patterns
    abnormal nodes, you must check areas each lymph drains for the source of problem. Explore area proximal (upstream) to location of abnormal node (EX. Submandicular= tooth pain)
  20. head and neck subjective data health history question?
    • - headache
    • - head injury
    • - dizziness
    • - neck pain, limitation of motion 
    • - lumps or swelling
    • - history of head or neck surgery
  21. objective data: the head
    • inspect and palpate the skull
    • - look for size and shape

    • infects the face 
    • - look for facial structures 
    • - symmetry
  22. normalsaphalic
    normal head size
  23. which cranial nerve affects facial expressions?
    • the 7th cranial nerve 
    • - this disease is known as bells paulsey
  24. acromegaly hydrocephalus
    • dues to excesses growth hormone
    • - more course looking structures
  25. when palpating the sinuses, which method of palpation must you use?
    direction palpation
  26. transillumination
    • take a pen light and place it underneath the sinus
    • - it should disperse the cavity (should see pinking)
    • - it would not grow if the person has developed sinusitis
  27. inspect and palpate: THE NECK
    • look for 
    • - symmetry 
    • - range of motion 
    • - lymph nodes
    • - trachea - midline
    • - thyroid gland
  28. how should we palpate and inspect the thyroid gland?
    • by using the
    • - posterior approach
    • - anterior approach 
    • - auscultate (if enlarged)
  29. Neck inspection/palpation: range of motion
    • head toward shoulders on either side
    • - abnormalities include cervical disk disease: limits mobility, possible developing meningitis
  30. how do you assess lymph nodes?
    • light palpation with tip of fingers, symmetrically with hands, rolling motion. compare right to left
    • - normally not palpable, can be small, discrete  firm, tender, mobile
  31. lymph node abnormalities
    inflammations: still movable, enlarged, firm, tender, mobile

    possible malignant: hard, not tender, not mobile
  32. trachea should be....?
    should be mid-line
  33. when auscultating the thyroid, a common characteristic of hyperthyroidism is what?
    is a whooshing sound
  34. note the order of palpation
    • - preauricular 
    • - posterior auricular 
    • - occipital 
    • - submental 
    • - submandibular
    • - jugulodigastric
    • - superficial cervical 
    • - deep cervical chain
    • - posterior cervical 
    • - supreclavicular
  35. thyroid: posterior approach
    • palpating the thyroid why behind the person, using fingers and not thumbs
    • - should feel smooth and rubbery
  36. thyroid: anterior approach
    palpating the thyroid while facing the patient  this time use your thumbs to palpate the thyroid
  37. thyroid goiter
    • - nodules can be benign or malignant 
    • - note the tracheal deviation to the right

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