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list parts of the neck assessment
- lymph nodes
- thyroid gland
- carotid and jugular veins
name 3 cranial nerves used to assess the neck, and how its used.
- CN V (trigeminal)= assess face for strength and sensation
- CN VII (facial)= assess face for movement
- CN XI (spinal accessory)= assess shoulders for strength
how do you assess CN V (trigeminal) Motor?
have client clech teeth while palpating the masseter and temporal muscles and then the temporomandibular joint
How do you assess CN V (trigeminal) sensory?
have client smile, from, puff out cheecks, raise eyebrows, close eyes tightly and show teeth
How do you test a clients ROM for the head & neck?
- chin to chest (flexion)
- ear to shoulder bilaterally (lateral flexion)
- chin up (hyperextension)
how do you test CN XI (spnal acessory)?
Place hands on shoulders and have the client shrug against resistance
where is the occipital lymph node located?
base of skull
where is the preauricular lymph node located?
in front of the ear
where is the postauricular lymph node located?
over the mastoid
where is the submandibular lymph node located?
along the base of the mandible
where is the tonsillar (retropharyngeal) lymph node located?
angle of the mandible
where is the submental lymph node located?
midline under the chin
where is the anterior cervical lymph node located?
along the sternocleidomastoid muscle
where is the posterior cervical lymph node located?
posterior to sternocleidomastoid muscle
if an enlargment of a lymph node is found, the node should be further evaluated for?
how does one assess a clients thyroid gland?
- first inspect the lower half of the clients neck
- have client take a sip of water
- watch for movement of the thyroid tissue (should move up)
- have them sip water with chin down and head to the right while placing our fingers between sternomastoid muscle and the trachea
Match the examination technique needed to perform each assessment. You can use each technique more than once.
techniques: inspection only, palpation only, both
movement of chin to chest
left occipital skull informity
- thyroid= both
- facial symmetry= inspection
- lymph nodes= palpation
- trachea pos.= both
- movement of chin to chest= inspection
- left occiptal skull deformity= both
which of the following should be assessed when examining the face? (select all)
perception of light touch of the face
symmetry of facial features
ROM of neck
presence of involuntary movements
- presence of involuntary movements
- symmetry of facial features
- perception of light touch of the face