Head and Neck

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Author:
servinggod247
ID:
262650
Filename:
Head and Neck
Updated:
2014-02-18 17:06:57
Tags:
health assessment
Folders:
health assessment
Description:
health assessment exam 2
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  1. Observe head position for
    • tilt
    • tremor
  2. Inspect skull and scalp for the following:
    • size
    • shape
    • symmetry
    • lesions
    • trauma
  3. Inspect facial features including the following:
    • symmetry
    • shape 
    • unusual features
    • tics
    • characteristic facies 
    • pallor or pigmentation variations
  4. palpate the head and scalp for tenderness especailly over areas of
    frontal and maxillary sinuses
  5. tracheal tug is sign of
    • aortic anurysm 
    • COPD
  6. Inspect the neck for the following:
    • symmetry
    • alignment of trachea
    • fullness
    • masses, webbing, and skinfolds
  7. Palpate the neck, note the following:
    • tracheal position
    • tracheal tug
    • movement of hyoid bone and cartilages with swallowing lymph nodes
  8. bruit in the skull suggests
    • cerebral aneurysm
    • vascular anomaly 
    • temporal arthritis
  9. the thyroid is approximately ____ cm, and the ____ lobe is often 25% larger
    • 4
    • right
  10. A bruit my be ascultated if the thyroid is
    enlarged (in a hypermetabolic state)
  11. Thyroid gland should be
    firm but pliable
  12. skull is composed of _____ fused bones
    7
  13. Bones of skull
    • Frontal- 2
    • Parietal-2
    • Temporal-2
    • Occipital-1
  14. Face bones
    • Frontal (fused)- forhead
    • Nasal
    • Zygomatic- cheek
    • Ethmoid- under nose
    • Lacrimal- eye
    • Sphenoid- near temple
    • Maxillary- above teeth
    • Mandible- chin
  15. Palpebral fissures
    eye lids
  16. nasolabial folds
    parenthesis
  17. facial muscles are innervated by cranial nerves...
    V and VII
  18. ______ artery is the major accessible artery of the face
    temporal
  19. Three paired salivary glands
    • Parotid gland: anterior to ear, above mandible
    • Submandibular gland: medial to mandible at angle of jaw
    • Sublingual gland: anterior to floor of mouth
  20. Posterior triangle formed by
    • Trapezius muscle
    • Sternocleidomastoid muscle
    • Clavicle
  21. Anterior triangle formed by
    • Medial border of sternocleidomastoid muscle
    • Mandible
  22. The neck contains
    • Trachea
    • Esophagus
    • Internal and external jugular veins
    • Common carotid
    • Internal and external carotid arteries
    • Thyroid
  23. What is the largest endocrine gland
    thyroid
  24. Thyroid produces what hormones
    • T3: thyroxine
    • T4: triiodothyronine
  25. Stiff neck could be due to
    • neck injury or strain, head injury, swelling
    • fever, bacterial or viral illness
  26. Things to note with thyroid problem
    • Changed temperature preference
    • swelling of neck 
    • change in texture of hair, skin, or nails
    • change in emotional stability
    • increased prominence of eyes (exopthalmos)
    • Tachycardia, palpitations
    • Change in menstural flow
    • Change in bowel habits
    • Medications:thyroid preparations
  27. Techniques used on head and face
    • inspection
    • palpation
    • percussion
    • auscultation
  28. Percussion is not usually performed on head and face, but the exception is for
    hypocalcemia

    Percussion on the masseter muscle may produce a hyperactive masseteric reflex, Chovastek's sign

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