Chapter 11 Head Neck and Regional Lymphatics Copyright
- Slides: 25
Chapter 11 Head, Neck, and Regional Lymphatics Copyright 2002, Delmar, A division of Thomson Learning
Competencies l l l Identify the anatomic structures of the head and neck. Identify the lymph nodes of the head and neck. Describe the system-specific health history for the head and neck. (continues) Copyright 2002, Delmar, A division of Thomson Learning
Competencies l l Demonstrate the physical assessment of the head and neck. Describe normal findings in the physical assessment of the head and neck. List common abnormalities found in physical assessment of the head and neck. Explain pathophysiology of common abnormalities found in physical assessment of the head and neck. Copyright 2002, Delmar, A division of Thomson Learning
Anatomy and Physiology l l l Skull Face Neck Thyroid Lymphatics Blood supply Copyright 2002, Delmar, A division of Thomson Learning
Health History l l Determine presence/absence of age- and gender-specific diseases of the head and neck Common chief complaints £ £ £ Neck pain or stiff neck Hoarseness Neck mass Headache Head injury Copyright 2002, Delmar, A division of Thomson Learning
Evaluating Chief Complaint l Determine the following characteristics Quality £ Associated manifestations £ Aggravating factors £ Alleviating factors £ Setting £ Timing £ Copyright 2002, Delmar, A division of Thomson Learning
Past Health History l l l Medical conditions Surgeries Medications Communicable diseases Injuries or accidents Special needs Copyright 2002, Delmar, A division of Thomson Learning
Family Health History l Determine if family history of Thyroid disease £ Headache £ Copyright 2002, Delmar, A division of Thomson Learning
Social History l l Alcohol use Work environment Home environment Stress Copyright 2002, Delmar, A division of Thomson Learning
Health Maintenance Activities l l l Sleep Diet Use of safety devices Copyright 2002, Delmar, A division of Thomson Learning
General Approach to Head and Neck Assessment l l Greet patient, explain assessment techniques Environment £ £ £ l l Quiet Warm Private Adequate lighting Upright sitting position Compare right and left sides Systematic approach Copyright 2002, Delmar, A division of Thomson Learning
Assessment of the Head l Inspection Shape £ Symmetry £ l Palpation Contour £ Masses £ Depression £ Tenderness £ Copyright 2002, Delmar, A division of Thomson Learning
Inspection and Palpation of the Scalp l Inspect £ l Normal findings £ l Lesions or masses Scalp is shiny, intact, without lesions or masses Abnormal findings £ Bleeding, lesions, masses, hematomas Copyright 2002, Delmar, A division of Thomson Learning
Assessment of the Face l Inspection Shape £ Symmetry £ (continues) Copyright 2002, Delmar, A division of Thomson Learning
Assessment of the Face l Normal findings Symmetrical features £ Palpebral fissures equal £ Nasolabial folds present bilaterally £ Shape can be oval, round, or slightly square £ (continues) Copyright 2002, Delmar, A division of Thomson Learning
Assessment of the Face l Abnormal findings £ £ Deformed or absent structures Asymmetry More or less pronounced facial features Diseases which may alter facial features: Bell’s palsy, Down syndrome, Graves’ disease, Myxedema, Cachexia, Cushing’s syndrome Copyright 2002, Delmar, A division of Thomson Learning
Mandible l l Palpate and auscultate the temporomandibular joint when the client opens and closes the mouth Normal findings £ l No discomfort, joint articulates smoothly without clicking or crepitus Abnormal findings £ Pain, tenderness, crepitus, clicking, or snapping sound Copyright 2002, Delmar, A division of Thomson Learning
Neck l l l Inspection Palpation Normal findings £ l Full ROM, pain free, symmetrical muscles, no masses Abnormal findings £ Limited ROM, pain, asymmetrical muscles, masses Copyright 2002, Delmar, A division of Thomson Learning
Thyroid Gland l l l Inspection Palpation Auscultation (continues) Copyright 2002, Delmar, A division of Thomson Learning
Thyroid Gland l Normal findings Symmetrical movement with swallowing £ Adam’s apple more pronounced in males £ No masses, tenderness, or enlargement £ Absent bruit £ (continues) Copyright 2002, Delmar, A division of Thomson Learning
Thyroid Gland l Abnormal findings Mass £ Enlarged gland £ Goiter £ Asymmetrical enlargement £ Presence of a nodule or bruit £ Copyright 2002, Delmar, A division of Thomson Learning
Lymph Nodes l l Inspection Palpation (continues) Copyright 2002, Delmar, A division of Thomson Learning
Lymph Nodes l Location £ £ £ £ Preauricular Postauricular Occipital Submental Submandibular Anterior and posterior cervical chains Tonsilar Supraclavicular (continues) Copyright 2002, Delmar, A division of Thomson Learning
Lymph Nodes l Normal findings £ l Unable to palpate or see nodes Abnormal findings Enlarged nodes £ Able to palpate or see nodes £ Tenderness £ Firm, hard nodes £ Copyright 2002, Delmar, A division of Thomson Learning
Gerontological Variations l l l Appearance and function of head and neck may be altered Buffalo hump Kyphotic posture Limited ROM Dizziness Copyright 2002, Delmar, A division of Thomson Learning
- Regional write up head face and neck
- Lymphatics of the upper limb
- Right axillary lymph node
- Efferent lymphatic vessels
- Thumb brush strum
- Tnm 8 head and neck
- Risk factors of head and neck cancer
- Thumb brush strum
- Muscular system head and neck
- Zygomaticus minor muscle
- Eccomysis
- What has a neck but no head
- 40/8 is the indexing for the divisions of
- Negative suction head
- The attacking firm goes head-to-head with its competitor.
- Tagi html
- Moving head disk mechanism
- Body parts
- Pre-head head tonic syllable tail
- Long head short head bicep
- 7 tones
- Moving head disk mechanism
- Rash on upper chest and back
- Muscles of facial expression ppt
- Throat muscles
- Tinikling is a bird with long legs and a long neck