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HEALTH ASSESSMENT
CHAPTER 14 HEAD FACE NECK
Question | Answer |
---|---|
HEAD | CRANIAL BONES: FRONTAL, PARIETAL, OCCIPITAL, TEMPORAL SUTURE-OSSIFY DURING EARLY CHILDHOOD FACIAL BONE-LACRIMAL-NASAL-ZYGOMATIC-MAXILLA-MANDIBLE CERVICLE-C1-C7 CRANIAL NERVES SALIVARY GLANDS-PAROTID, SUBMANDIBULAR, SUBLINGUAL |
NECK | STERNOMASTOID-TRAPIZIUM ANTERIOR AND POSTERIOR TRIANGLE(PALPATE CORATID ARTERIES) TYROID-REGULATE METABOLISM TYROID -CRICOID CARTILAGE |
CERVICL LYMPH NODES HAS LYMPHALIC FLUID-HELP DETECTS FOREIGN BODY | PREAURICULAR POSTAURICULAR OCCIPITAL SUBMENTAL SUBMANDIBULAR TONSILLAR(JUGULODIGASTRIC) SUPERFICIAL CERVICAL(STERNOMASTOID) DEEP CERVICAL(EDGE OF TRIANGLE) SUPRACLAVICULAR |
INFANTS AND CHILDREN | FRONTANEL POSTERIOR-CLOSED BY 2-4 MONTHS ANTERIOR-9-2YEARS OLD HEAD GREATER THAN CHEST CIRCUMFERENCE |
PREGNANT WOMEN | ENLARGEMENT OF THYROID GLAND |
AGING ADULTS | DECREASED IN SUBQ FAT, ELASTICITY AND SKIN MOISTURE GET SKINNIER AND SKINNIER |
HEADACHE | LEADING CAUSE OF ACUTE PAIN PRODUCTIVITY LOSS Types:TensionClusterSinusTMJNeckMigraine COLDSPA ACRONYM |
HEAD INJURY | VERTIGO NECK PAIN-IS IT STRESS RELATED-MENINGITIS |
AGE SPECIFIC | Did the mother use alcohol or drugs during pregnancy? FETAL SYNDROM-THIN LIPS-EYES Was the delivery vaginal or cesarean section?Is the baby’s growth on schedule? Does dizziness affect daily living? FALL Does neck pain affect daily living? |
Inspect and palpate the skull: | Size-CEPHALIC MICRO OR MACRO Shape Temporal area Temporal artery Temporomandibular joint (TMJ)-SMOOTH) FRONTAL AND MAXILLARY SINUSES Inspect and palpate the face:ExpressionBehavior/moodShape of facial structures |
OBJECTIVE DATA - NECK | Symmetry:MidlineSymmetric accessory neck musclesErect and still Range of Motion:Side to side and up and down movementsTest muscle strength and cranial nerve XINote any enlargement or pulsations |
OBJECTIVE DATA - NECK | Apply gentle pressure in a circular motionDevelop systematic approach to include all 10 nodesPalpate with both hands through each side simultaneously Note any palpable nodes (should feel movable, soft, and nontender).Observe for lymphadenopathy |
OBJECTIVE DATA - NECK | Trachea: Should be midline-PALPATE Thyroid gland:Shine light tangentially across neckTilt the head back to stretch the skinHave patient swallow (tissue should move up then back to place) |
NECK | Palpate from posterior approachAuscultate thyroid if it appears enlarged (should be negative for bruit) |
SKULL | Skull:Head size: 32-38 cmContour: symmetric1.Caput succedaneum CONE HEAD 2.Cephalhematoma3.Craniosynostosis OBED 4.Positional plagiocephaly FLAT HEAD Head posture/controlTonic neck reflexFaceNeck |
NECK/FACE ABNORMALITIES | Simple Diffuse Goiter Multinodular Goiter Pilar Cyst Parotid Gland Enlargement (Parotitis or Mumps) Graves Disease(Hyperthyroidism) Myxedema(Hypothyroidism) SMALL EYES Acromegaly Cushing Syndrome-SWELLING FACE |
FACIAL ABNORMALITIES | Bell Palsy Stroke Parkinson Syndrome Cachectic Appearance |