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Head/neck assessment

QuestionAnswer
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
Created by: Jmariez
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