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HEALTH ASSESSMENT

CHAPTER 14 HEAD FACE NECK

QuestionAnswer
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:TensionClusterSinusTMJNeckMigraine 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:ExpressionBehavior/moodShape of facial structures
OBJECTIVE DATA - NECK Symmetry:MidlineSymmetric accessory neck musclesErect and still Range of Motion:Side to side and up and down movementsTest muscle strength and cranial nerve XINote any enlargement or pulsations
OBJECTIVE DATA - NECK Apply gentle pressure in a circular motionDevelop systematic approach to include all 10 nodesPalpate 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 neckTilt the head back to stretch the skinHave patient swallow (tissue should move up then back to place)
NECK Palpate from posterior approachAuscultate thyroid if it appears enlarged (should be negative for bruit)
SKULL Skull:Head size: 32-38 cmContour: symmetric1.Caput succedaneum CONE HEAD 2.Cephalhematoma3.Craniosynostosis OBED 4.Positional plagiocephaly FLAT HEAD Head posture/controlTonic neck reflexFaceNeck
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
Created by: Seka_nurse
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