DH theory

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Author:
sthomp88
ID:
43241
Filename:
DH theory
Updated:
2010-12-14 15:57:18
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Chapter ten
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Description:
palpation
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  1. a systematic visual examination of a patient's general appearance, skin, or part of the body to observe its conditions
    inspection
  2. the examination of a part of the body by using the fingertips to move or compress a structure against the underlying tissue. the finger tips are used for this
    palpation
  3. the sequence for examination of the head and neck must be followed__________with every pateint to ensure a_____________exam. The specific order can vary from__________to____________. It is most important that once a clinician chooses a sequence they keep_____ _________sequence of examination every time to ensure___________.
    • consistently
    • complete
    • clinician
    • clinician
    • the same
    • thoroughness
  4. describe 3 proper techniques for palpation
    • compress firmly on underlying structure - no "dancing"
    • compress structure 1/2 inch against tissue
    • apply pressure in a circular motion using mainly the 2 middle fingers
  5. What can you expect to see in normal findings of the oral exam procedure and findings of the head, neck, face, and skin?
    • face and neck appear symmetrical
    • skin is intact and uniform of color
    • there is an even distribution of hair of scalp
    • normal moles
  6. Show the correct way to record extra oral and intra oral findings in the chart:
    Date:___ HHX no cx to tx. P:___ R:___ BP: LA ___ SI, CII; EO/IO within normal limits (WNL)
  7. What are noteable findings of EO exam of the head, neck, face, and skin?
    • lesions or color change of the skin
    • uneven pattern of hair loss
    • lesions
    • masses in the neck
    • wounds, bruises, scars
    • swelling of the face or neck
    • asymmetry of the face or neck
  8. name 4 compression techniques
    • one hand
    • both hands
    • compression against underlying structures
    • compression against underlying tissues
  9. technique and example of one hand compression?
    • compress the sternomastoid muscle of the neck between the fingers and the thumb
    • roll tissue for submandibular gland
  10. what is the compression technique used for the TMJ?
    both hands
  11. what compression technique is used for the thyriod?
    • underlying structure:
    • press and palpate the structure against the underlying tissue
  12. What compression technique is used for lymphnodes?
    • underlying tissue:
    • lymph nodes, press them 1/2 inch in
  13. true or false. It is rare to detect anything from palpating healthy structures.
    true
  14. describe what you will find for each of the following categories in healthy structures:
    a. surface
    b. shape
    c. consistency
    d. mobility
    e. tenderness
    • a. smooth and flat
    • b. symmetrical
    • c. smooth, note if any roughness is felt
    • d. nodes should be mobile, a fixed node is a serious issue
    • e. it shouldn't hurt the pt.
  15. are lymph nodes detectable if they are healthy and normal?
    no
  16. What are 6 noteable characteristics of infected lymph nodes?
    • firm and tender
    • enlarged and warm
    • bilateral - swelling on both sides
    • freely moveable from underlying structures (cyst)
    • feels like a swollen grape
    • some nodes remain permanently swollen after an infection
  17. What are 5 characteristics of malignancies of lymph nodes of the head and neck?
    • firm
    • nontender
    • matted (stuck to each other)
    • fixed (stuck to underlying tissue)
    • unilateral

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