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Head/neck assessment
Question | Answer |
---|---|
Acromegaly | skill and facial bones are larger and thicker |
Acorn-shaped, enlarged skull bones are seen in | Paget's disease |
Asymmetry in front of the earlobes occurs with | parotid gland enlargement from an abscess or tumor |
Drooping of one side of the face may result from | stroke, CVA or Bell's Palsy |
you should inspect the head and neck for | Head: size, asymmetry, stroke, down syndrome, involuntary movement (tremors, seizures, Parkinson's) Neck: lumps, range of motion, and cervical vertebrae. |
Cachexia | a sunken face with depressed eyes and hollow cheeks |
A temporal artery should be | elastic and non-tender |
The head should be | held still and upright |
When a patient swallows, the thyroid cartialge, cricoid cartilate and thyroid gland should move | upward symmetrically |
What may indicate TMJ | limited range of motion, swelling, tenderness or crepitation |
List the location of the following lymph nodes: Preauricular Postauricular Occipital node Tonsillar node | Preauricular- in front of ear Postauricular-behind the ears Occipital node-posterior base of skull Tonsillar node- angle of mandible on the anterior edge of sternomastoid muscle |
List the following lymph node locations: Submandibular node Submental node Superficial cervical node posterior cervical node | Submandibular node-medical border of mandible Submental node-few cm behind tip of manible Superficial cervical-superficial to sternomastoid muscle Posterior cervical- posterior to the sternomastoid and anterior to the trapezius in the posterior triangl |
List the following lymph node locations: deep cervical chain node supraclavicular node | deep cervical chain node-deeply within and around the sternomastoid muscle supraclavicular node-hook fingers deeply b/w clavicles and sternomastoid muscles |
Characteristics of lymph nodes | Size and shape Delimination (position) Mobility (usually mobile) Consistency (soft) Tenderness and location |
When lymph nodes exceed 1 cm, the client is said to have | lymphadenopathy |
Lymph node characteristics in older clients | may be fibrotic, fatty or smaller due to loss of lymphoid elements related to aging |