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a systematic visual examination of a patient's general appearance, skin, or part of the body to observe its conditions
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
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___________.
- the same
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
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
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)
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
- masses in the neck
- wounds, bruises, scars
- swelling of the face or neck
- asymmetry of the face or neck
name 4 compression techniques
- one hand
- both hands
- compression against underlying structures
- compression against underlying tissues
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
what is the compression technique used for the TMJ?
what compression technique is used for the thyriod?
- underlying structure:
- press and palpate the structure against the underlying tissue
What compression technique is used for lymphnodes?
- underlying tissue:
- lymph nodes, press them 1/2 inch in
true or false. It is rare to detect anything from palpating healthy structures.
describe what you will find for each of the following categories in healthy structures:
- 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.
are lymph nodes detectable if they are healthy and normal?
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
What are 5 characteristics of malignancies of lymph nodes of the head and neck?
- matted (stuck to each other)
- fixed (stuck to underlying tissue)
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