Flashcards in Head and Neck Deck (81)
Where can one place a finger to palpate the temporomandibular joint?
In front of triages or in the external auditory meatus
A patient should be able to open their jaw wide enough to insert how many fingers vertically into the mouth?
What is the primary source of TMJ disorder?
Malocclusions (bite problems)
The TMJ is a favorite site for what kind of joint disease?
What condition produces crepitus in the TMJ with movement?
What condition is to be expected with tenderness of the TMJ?
What is a sign of a displaced TMJ cartilage?
Clicking when opening the mouth
What are usually the causes of unilateral swollen salivary glands?
Bacterial infection (like Parotitis)
Ductal calculus in Stenson's or Wharton's duct
Cyst or tumor
Which salivary duct opens by the second upper molar? By either side of the frenulum of the tongue?
Second upper molar - Stenson's
Frenulum - Wharton's
What are usually the causes of bilateral swollen salivary glands?
Viral infection (like mumps)
Every tissue in the body with blood vessels has lymphatic vessels except what two areas?
Placenta and brain
Fluid collected in the lymphatic system from the right and left sides of the head and neck eventually empty into what vessels?
Right and left subclavian veins
Both legs, abdomen, and left chest lymphatics all drain into which vein?
Left subclavian vein
Right chest lymphatics drain into which vein?
Right subclavian vein
What are the superficial lymph node sites?
Head and neck
Superficial lymph nodes of the head and neck can be palpated anterior and posterior to which major muscle?
Where are the superficial lymph nodes of the head and neck palpated?
Under occiput and jaw
Anterior and posterior to ear and SCM
Where are the superficial lymph nodes of the axillary region palpated?
Dome of armpit
Where are the superficial lymph nodes of the inguinal region palpated?
Above and below inguinal ligament
What kind of infection produces small, mobile, and tender lymph nodes?
What kind of infection produces multiple and less tender lymph nodes?
Describe the lymph nodes seen with Hodgkin's disease.
Large rubbery nodes
Describe the lymph nodes seen with metastatic cancer.
Stony hard, non-tender nodes
What is a likely suspicion if a patient presents with large lymph nodes but no signs nor symptoms of infection?
If a large lymph node but no signs nor symptoms of infection are seen in a patient, what other signs and symptoms may be present that are indicative of cancer?
Cachexia, skin changes, unhealed sores, digestion issues, nagging cough, unusual bleeding, etc.
What is the name of the swollen lymph node that can be found in the left supraclavicular group that lacks a typical explanation?
Virchow's node (signal node)
A Virchow's node is indicative of what condition?
Thoracic or abdominal cancer
Why is a Virchow's node indicative of thoracic or abdominal cancer?
Last and only location lymphadenopathy originating in majority of trunk can be detectable
True or false: lymphadenopathy in a primary care setting is most commonly due to serious illness.