Hazzard Chapter 3 Flashcards
(24 cards)
What are the two physical methods used in the examination of the neck?
Inspection and palpation.
What can inspection of the neck reveal?
Scars due to wounds or operations, general conformation of the neck, and abnormalities such as enlarged tonsils, lymphatic glands, blood vessel changes, or thyroid enlargement.
What might be observed on the anterior aspect of the neck during inspection?
Enlargement from tonsils or lymphatic glands, abnormal pulsations or engorgement of blood vessels, and an enlarged thyroid gland.
What does inequality in the postero-lateral aspects of the neck suggest?
A typical cervical condition involving bony lesions, often indicating a slight spinal curvature.
How are the cervical vertebrae typically involved in this condition?
There is a swerving of the cervical vertebrae with convexity toward the full side, involving multiple vertebrae and causing an extensive cervical lesion.
How are the tonsils located?
pressure of the fingers just below the angle of the inferior maxillary bone.
How is the hyoid bone located ?
by pressing all the soft tissues just below the jaw toward the median plane of the body.
by pressing all the soft tissues just below the jaw toward the median plane of the body… what part of the hyoid gets observed?
prominence of the greater cornu upon the opposite side of the throat, which may be easily detected by the index finger.
In public speakers, singers, and others liable to throat disease the ____ muscles are often fucked?
Superior hyoid muscles are often in pathological condition.
The sterno-mastoid muscle is made prominent by causing the patient to turn his head to the opposite side. Pressure deep behind the anterior border of this muscle impinges ??
Pneumogastric nerve (Vagus)
How is the superior laryngeal branch of the Pneumogastric nerve located ?
Pressure behind the greater cornu of the hyoid bone
The Pneumogastric nerve (Vagus) recurrent laryngeal branch may be impinged by pressure near the ??
Anterior border of the sterno-mastoid muscle at the level of the cricoid cartilage.
The posterior structures of the neck may be tested for abnormal tension by ?
Flexing the head upon the thorax, the patient upon his back.
It is common to find an area of increased temperature at ??
The base of the skull behind.
A strongly pulsating carotid artery is seen in ______
Aortic regurgitation
A venous pulse in the jugular veins may accompany marked ???
Tricuspid regurgitation
Occasionally the posterior tubercle of the atlas may be felt?
In the space between the second cervical spine and the skull.
Crepitus and abnormal mobility of bony parts indicates?
Fracture.
The brachial plexus of nerves emerging from between the ?? What vertebral level?
scalenus anticus and the scalenus medius muscles, below the level of the fifth cervical vertebrae
The superior cervical ganglion lies in front of the ??
TVP, C2-3
The middle cervical ganglion, lying in front of the ??
TVP, C6-7
The lower cervical ganglion lies in front of the ??
first costo-vertebral articulation, C7/8
C7 TVP’s are readily located by deep
Lateral pressure at the outer third of the supra-clavicular fossae.
