Head Face and Neck Including Regional Lymphatics Health

Head, Face, and Neck, Including Regional Lymphatics Health Assessment Across the Lifespan NRS 102 Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Structure and Function Subjective Data—Health History Questions Objective Data—Physical Exam Abnormal Findings Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -2

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Structure and Function Head Cranial bones Sutures Facial bones Facial muscles Salivary glands Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -3

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Structure and Function (cont. ) Neck muscles Anterior and posterior triangles Thyroid gland Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -4

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Structure and Function (cont. ) Lymphatics Preauricular Posterior auricular (mastoid) Occipital Submental Submandibular Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -5

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Structure and Function (cont. ) Lymphatics (cont. ) Jugulodigastric Superficial cervical Deep cervical Posterior cervical Supraclavicular Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -6

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Structure and Function (cont. ) Developmental care Infants and children Ø Fontanels Ø Head growth Ø Lymphatic system Pregnant female Aging adult Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -7

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Subjective Data— Health History Questions Headache Head injury Dizziness Neck pain or limitation of motion Lumps or swelling History of head or neck surgery Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -8

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Subjective Data— Health History Questions (cont. ) Additional history for infants and children Maternal alcohol or drug use Type of delivery Growth pattern Additional history for aging adult Dizziness Neck pain Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -9

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Objective Data— Physical Exam Head–Inspect and palpate the skull Size and shape Temporal area Head–Inspect the face Facial structures Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -10

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Objective Data—Physical Exam (cont. ) Neck–Inspect and palpate Symmetry Range of motion Lymph nodes Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -11

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Objective Data—Physical Exam (cont. ) Neck–Inspect and palpate (cont. ) Trachea Thyroid gland Ø Posterior approach Ø Anterior approach Ø Auscultate Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -12

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Objective Data—Physical Exam (cont. ) Developmental care Infants and children Ø Skull Ø Face Ø Neck Ø Special procedures Pregnant female Aging adult Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -13

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Sample Charting Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -14

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Sample Charting (cont. ) Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -15

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Sample Charting (cont. ) Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -16

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Abnormal Findings Abnormalities in Head Size and Contour Hydrocephalus Paget’s disease of bone (osteitis deformans) Acromegaly Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -17

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Abnormal Findings (cont. ) Swellings of the Head and Neck Torticollis (wryneck) Thyroid—multiple nodules Thyroid—single nodule Pilar cyst (wen) Parotid gland enlargement Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -18

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Abnormal Findings (cont. ) Pediatric Facial Abnormalities Fetal alcohol syndrome Congenital hypothyroidism Down syndrome Atopic (allergic) facies Allergic salute and crease © Pat Thomas, 2006. Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -19

Chapter 13: Head, Face, and Neck, Including Regional Lymphatics Abnormal Findings (cont. ) Abnormal Facial Appearances With Chronic Illnesses Parkinson’s syndrome Cushing’s syndrome Graves’ disease Hyperthyroidism Myxedema (hypothyroidism) Bell’s palsy Brain attack or cerebrovascular accident Cachectic appearance Scleroderma Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 13 -20