unit 2- head & neck

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unit 2- head & neck
2011-04-10 18:47:26
head neck

unit 2- head & neck
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  1. list parts of the neck assessment
    • shoulders
    • ROM
    • lymph nodes
    • thyroid gland
    • trachea
    • carotid and jugular veins
  2. 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
  3. how do you assess CN V (trigeminal) Motor?
    have client clech teeth while palpating the masseter and temporal muscles and then the temporomandibular joint
  4. How do you assess CN V (trigeminal) sensory?
    have client smile, from, puff out cheecks, raise eyebrows, close eyes tightly and show teeth
  5. How do you test a clients ROM for the head & neck?
    • chin to chest (flexion)
    • ear to shoulder bilaterally (lateral flexion)
    • chin up (hyperextension)
  6. how do you test CN XI (spnal acessory)?
    Place hands on shoulders and have the client shrug against resistance
  7. where is the occipital lymph node located?
    base of skull
  8. where is the preauricular lymph node located?
    in front of the ear
  9. where is the postauricular lymph node located?
    over the mastoid
  10. where is the submandibular lymph node located?
    along the base of the mandible
  11. where is the tonsillar (retropharyngeal) lymph node located?
    angle of the mandible
  12. where is the submental lymph node located?
    midline under the chin
  13. where is the anterior cervical lymph node located?
    along the sternocleidomastoid muscle
  14. where is the posterior cervical lymph node located?
    posterior to sternocleidomastoid muscle
  15. if an enlargment of a lymph node is found, the node should be further evaluated for?
    • location
    • tenderness
    • size
    • shape
    • consistency
    • mobility
    • discretness
  16. 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
  17. Match the examination technique needed to perform each assessment. You can use each technique more than once.
    techniques: inspection only, palpation only, both
    facial symmetry
    lymph nodes
    trachea position
    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
  18. which of the following should be assessed when examining the face? (select all)
    lymp nodes
    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