Flashcards in Head And Neck With Lymphatics Deck (66):
Join bones together in head
Crosses the top of the scalp from ear to ear
Crosses the skull from anterior to posterior
Separates Occipital and parietal
When documenting physical assessments, nurses must take care to describe the location of scalp or skull findings according to_______
Bones and sutures
Major facial muscles
Blood supply to the head is through __________
Trigeminal nerve V supplies _________
Motor and sensory innervations to forehead,checks and chin
Major neck muscles
Sternocleidomastiod and trapezius
Three pair of salivary glands
Neck is supported by
Useful neck landmark
Vertebral prominence (C7)
What are the common measurable thyroid hormones?
T3 and T4, which control metabolic rate and can affect almost every body system
If the posterior portion if the thyroid gland is enlarged, it may not________
Hard to palpate in healthy people
Parathyroid gland produces?
Calcitonin-helps moves calcium into bones
Approximately, how many lymph nodes are in head and neck?
80 lymph nodes
Purpose of lymphatics?
Filter pathogens from the body and drain fluid that has moved outside circulation back into the body
Enlarged lymph node indicates?
Inflammation that is "upstream" from it
Women may present with signs and symptoms of hyperthyroidism followed by hypothyroid symptoms
Why is it important to assess the size of the anterior or posterior fontanels?
To determine ossification is happening at appropriate time
3 months posterior
18 months anterior
In children 1-5, nurses may palpate small, non tender, movable nodes in head and neck. Described as?
Any history of trauma to the head, neck or both warrants?
Careful assessment of these structures for bleeding, swelling, loss of mobility or pain
If a patient is unable to provide a complete history due to a severe headache , it is still important to get?
A focused history and physical examination looking for neurological changes
Neck pain is often related to?
Muscles spasms or tension
Neck pain associated with fever and headache may indicate?
Any patient with sudden neck or jaw pain should immediately be evaluated for?
Lymphatics larger than cm 1 cm, fixed, irregular, or hard or rubbery require emergency investigation for?
Hyperthyroidism may present as?
Tachycardia, diarrhea, anxiety, fever, weakness, psychosis, coma and death
Fatigue, anorexia, cold intolerance, dry skin, brittle coarse hair, menstrual irregularities, weight gain or difficulty losing weight, decreased libido
Fatigue, weight loss, anxiety, palpitations,rapid pulse, heat intolerance, fine limp hair diaphoresis, muscle weakness
In older adults, arthritic changes in the cervical spine may present as?
Neck pain or loss of sensation or strength of extremities
Do you have patient remove wig or hairpieces for exam?
Before exam, what do you warn the patient about?
Neck will be palpated, manipulated, inspected mad the procedure will not hurt.
Let pt know to inform you if any part of the exam causes pain
Inspection of head
Inspection of hair:
Inspection of neck
Lesions, limitations in movement
Look at neck muscles
Palpitation of scalp
Masses or lesions
Palpitation of thyroid
Asses for enlargement
Unilateral bulging may be thyroid goiter, cyst or tumor
Tenderness is associated with acute infection, traumatic injury, radiation thyroiditis
Palpitation of lymph nodes
Enlargement or tenderness
Auscultation of the thyroid
Listen for bruit
Facial asymmetry may indicate damage to what nerve or what?
CN VII or stroke
Enlarged bones or tissues
Puffy "moon" face
Increased facial hair in females
CHF and hypothyroidism
Unusual distribution or patterns of hair growth on the face or skull are associated with?
Any nits (white or brown specs) attached to hair shaft may be signs of?
May occur with tight braiding
Palpable, tender, and warm lymph nodes usually indicate?
Infection in the area from which the the lymph vessels drain to that node
Present on face of pregnant women
Blotchy and hyper pigmented patch appears on cheeks and fades in postpartum period
Asymmetry of am infant head can occur from?
Infant one one position for prolonged period of time and premature closing of sutures
Hypothyroidism is more common in infants with?
The lymph nodes that lie superficial to the mastoid bone are the
Posterior auricular nodes
Abnormal collection of cerebral spinal fluid in ventricles of brain causes enlargement of brain
Fetal alcohol syndrome
Developmental delays and congenital abnormalities
Microcephaly, flattened check bones, small eyes, flattened upper lip
Congenital condition with an extra chromosome or translocation of chromosome 14 or 15 with 21 or 22
Microcephaly, flattened occipital bone, slanted small eyes, depressed nasal bridge, low set ears and protruding tongue
Cretinism (congenital hypothyroidism)
Puffy facial features often larger than normal tongue. Common in parts of the world where diet is deficient in iodine
Paralysis, usually unilateral, of facial nerve CN VII can be transient or permanent
Degenerative neurological disease
Mask like facial appearance, rigid muscles, diminished reflexes and shuffling gait
Hardening of the skin, usually in hands and face first
Enlarged thyroid gland
Severe hypothyroidism, preorbital swelling mad edema of face, hands and feet
Acute situations include
head and neck injuries, neck pain, enlarged lymph nodes, thyrotoxicosis
Bruit may be present with?
hyperthyroidism and thyrotoxicosis
Infant should be able to hold head up by?
swollen and ecchymotic area caused by the birth process as the head is squeezed