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Assessing the Head, Face, and Neck

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Question
Answer
Interaction with Respiratory System   nasal and oral are entry points; injury/disease impairs ability to breath can result in infections in upper and lower respiratory systems  
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Interaction with Cardiovascular System   disorders may be seen: some infarction/ischemic pain may radiate to jaw or throat; facial edema can have fluid retention  
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Interaction with Musculoskeletal System:   facial expressions - communication and nourishment  
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Interactions with Neurological System   altered - speech, feeding, expression  
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Interaction with Endocrine System   thyroid disfunction - hypertrophy or enlargements (goiters) and facial spasms could show signs of disease  
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Disorders of head, face and neck   have the potential to influence the morbidity and mortality of patients profoundly  
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Physical changes of the head, face and neck   are associated with disorders that can have devastating effects  
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Head, face and neck structures   are greatly influenced by other systems  
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Head inspection   should be of size, shape and symmetry of facial features (variation between genders, race and ethnic groups vary widely)  
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Asymmetry of facial features   indicates previous trauma, surgery, congenital deformity, paralysis, edema, stroke or Bell's Palsy  
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Palpation of TMJ   smooth, symmetrical movement w/ no pain, crepitus or clicking  
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Where are Stensen's ducts   located upper buccal mucosal at point of second upper molar. they drain the parotid  
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Where are Wharton's ducts   located on either side of frenulum, drain the submandibular glands  
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When do the anterior and posterior fonanesl close on children?   anterior fontanels close at 10-18 months, posterior close by 2 months.  
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Which sinuses do you percuss during the assessment of the head?   frontal and maxillary sinuses  
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What isn unique about how infants breath and what may indicate respiratory distress?   infants are obligate nose breathers. nasal flaring is associated with respiratory distress.  
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When assesing a child, what may a foul odor or unilateral discharge from the nose indicate?   A foreign body  
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How are enlarged tonsils graded?   Grade 1- within normal limits Grade 2- enlarged but separate from uvula Grade 3- tonsils touching uvula Grade 4- tonsils touching each other  
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What is geographic tongue?   A benign variation of smooth tongue and raised papillae. map like appearance.  
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What is hair tongue?   Black hairy tongue. Elongated darkened papillae. Benign, often due to staining, infection, or antibiotic treatment  
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What is lichen planus?   Benign, painless, white, lace-like eruptions. bilateral on buccal mucosa.  
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What is leukoplakia?   Precancerous, white plaques, on buccal mucaosa, gingivae or tongue. Hairy leukoplakia of tongue associated with HIV.  
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What are the 10 lymph node groups?   Pre-auricular Post-auricular Occipital Tonsilar Submaxillary Submental Superficial clavical Posterior clavical Supraclavicular Infraclavicular  
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Where do you palpate the Maxillary sinuses?   Under the eyes  
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Where would you look to inspect Wharton's duct opening?   On either side of the frenulum, under the tongue  
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When auscultating the carotid arteries, which part of your stethoscope would you use?   The bell  
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Created by: MEPN 2013
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