chapter 6 head/neck Flashcards Preview

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Flashcards in chapter 6 head/neck Deck (16):

neck stiffness

-other symptoms associated with: ha, neck pn, shldr pn, arm pn
-common causes: muscle sprain/strain
-if assoc. with high fever, n/v, sleepiness, ha-possible meningeal irritation
-can be assoc. with chest pn from MI or angina


pemberton's sign

-thyroid can expand into chest cavity and impair venous outflow from hd and neck
-ask pt to raise arms until touching head-after a few seconds-minutes pt's head flushes or cyanotic--positive sign


symptoms of hyperthyroidism

-general: preference to cold, wt loss
-eyes: prominence of eyeballs, puffy eyelids, double vision, decreased motility
-neck: goiter
-cardiac: palpitations, peripheral edema
-GI: increased bm's
-GU: polyuria, decreased fertility
-neuromuscular: fatigue, wkness, tremors
-emotional: nervousness, irritability
-dermatologic: hair thinning, increased perspiration, change in skin texture, change in pigmentation


s&s of hypothyroidism

-general: wt gain, feeling chilly
-GI: constipation
-CV: fatigue
-nervous: speech disorders, short attention span, tremor
-musculoskeletal: lethargy, thickened dry skin, hair loss, brittle nails, leg cramps, puffy eyelids/cheeks
-reproductive: heavier menses, decreased fertility


neck mass

-pain assoc. with mass-usually acute infection
-masses present for few days usually inflammatory
-masses present for months or more neoplastic-no change in size or shape-benign or congenital lesion
-pt40: malignant mass
-midline: usually benign or congenital-i.e. dermoid cyst
-lateral: neoplastic; lateral upper: mets from tumors of hd and neck; lateral lower: mets from tumors of breast and stomach
-branchial cleft cyst: located laterally usually benign and pnless


ear pain

-can be primary or secondary
-not always infection
-other causes: TMJ problems, dental, sinus infection, musculoskeletal from cervical neck, neurological problems
-most common cause is infection


erythema on tympanic membrane

-indicative of infection
-may have loss of bony landmarks


tympanic membrane scaring

-may be normal finding unless accompanied by significant hearing loss
-may be result of trauma or severe infections
-trauma related to loud noise-i.e. shot guns or other weapons
-other trauma could be falls or direct trauma to head


pre-auricular node

-drains eyelids and conjunctivae, temporal region, pinna
-common causes of enlargement: scalp lesion, infection of external ear, pathology of face and forehead


tonsillar node

drain tongue, floor of mouth , oropharynx


submaxillary (submandibular) node

-drain tongue, teeth, floor of mouth, pharynx


submental node

-drain same areas as submaxillary, as well as teeth and intra-oral cavity


anterior cervical (jugular) node

-drains anterior third of scalp, facial structures, and thyroid, and internal structures of throat, part of pharynx and tosils


supraclavicular node

-drains part of thoracic cavity and abdomen
-enlargement usually from mets from lungs or breast ca


occipital node

-drains the scalp


posterior cervical node

-drains thyroid and posterior 2/3 of scalp
-frequently enlarged due to upper respiratory infections i.e. mononucleosis