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Flashcards in Head And Neck With Lymphatics Deck (66):
0

Sutures

Join bones together in head

1

Coronal Suture

Crosses the top of the scalp from ear to ear

2

Sagittal suture

Crosses the skull from anterior to posterior

3

Lambdoidal suture

Separates Occipital and parietal

4

When documenting physical assessments, nurses must take care to describe the location of scalp or skull findings according to_______

Bones and sutures

5

Major facial muscles

Frontalis
Temporalis
Zygomaticus
Masseter
Buccinators
Orbicularis oculi
Orbicularis oris

6

Blood supply to the head is through __________

Carotid artery

7

Trigeminal nerve V supplies _________

Motor and sensory innervations to forehead,checks and chin

8

Major neck muscles

Sternocleidomastiod and trapezius

9

Three pair of salivary glands

Parotid
Submandibular
Sublingual

10

Neck is supported by

C1-7

11

Useful neck landmark

Vertebral prominence (C7)

12

What are the common measurable thyroid hormones?

T3 and T4, which control metabolic rate and can affect almost every body system

13

If the posterior portion if the thyroid gland is enlarged, it may not________

Be palpable

Hard to palpate in healthy people

14

Parathyroid gland produces?

Calcitonin-helps moves calcium into bones

15

Approximately, how many lymph nodes are in head and neck?

80 lymph nodes

16

Purpose of lymphatics?

Filter pathogens from the body and drain fluid that has moved outside circulation back into the body

17

Enlarged lymph node indicates?

Inflammation that is "upstream" from it

18

Silent thyroiditis

Women may present with signs and symptoms of hyperthyroidism followed by hypothyroid symptoms

19

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

20

In children 1-5, nurses may palpate small, non tender, movable nodes in head and neck. Described as?

Shotty

21

Any history of trauma to the head, neck or both warrants?

Careful assessment of these structures for bleeding, swelling, loss of mobility or pain

22

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

23

Neck pain is often related to?

Muscles spasms or tension

24

Neck pain associated with fever and headache may indicate?

Meningitis

25

Any patient with sudden neck or jaw pain should immediately be evaluated for?

Cardiac etiologies

26

Lymphatics larger than cm 1 cm, fixed, irregular, or hard or rubbery require emergency investigation for?

Cancer

27

Hyperthyroidism may present as?

Tachycardia, diarrhea, anxiety, fever, weakness, psychosis, coma and death

28

Hypothyroidism

Fatigue, anorexia, cold intolerance, dry skin, brittle coarse hair, menstrual irregularities, weight gain or difficulty losing weight, decreased libido

29

Hyperthyroidism

Fatigue, weight loss, anxiety, palpitations,rapid pulse, heat intolerance, fine limp hair diaphoresis, muscle weakness

30

In older adults, arthritic changes in the cervical spine may present as?

Neck pain or loss of sensation or strength of extremities

31

Do you have patient remove wig or hairpieces for exam?

Yes

32

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

33

Inspection of head

Check:
Symmetry
Deformities

34

Inspection of hair:

Texture
Color
Cleanliness
Distribution
Density

35

Inspection of neck

Lesions, limitations in movement
Look at neck muscles

36

Palpitation of scalp

Masses or lesions
Wear gloves

37

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

38

Palpitation of lymph nodes

Enlargement or tenderness

39

Auscultation of the thyroid

Listen for bruit

40

Facial asymmetry may indicate damage to what nerve or what?

CN VII or stroke

41

Acromegaly

Enlarged bones or tissues

42

Cushing's syndrome

Puffy "moon" face
Increased facial hair in females

43

Periorbital edema

CHF and hypothyroidism

44

Unusual distribution or patterns of hair growth on the face or skull are associated with?

Endocrine abnormalities

45

Any nits (white or brown specs) attached to hair shaft may be signs of?

Pediculosis (lice)

46

Traction alopecia

May occur with tight braiding

47

Palpable, tender, and warm lymph nodes usually indicate?

Infection in the area from which the the lymph vessels drain to that node

48

Chloasma

Present on face of pregnant women
Blotchy and hyper pigmented patch appears on cheeks and fades in postpartum period

49

Asymmetry of am infant head can occur from?

Infant one one position for prolonged period of time and premature closing of sutures

50

Hypothyroidism is more common in infants with?

Down's syndrome

51

The lymph nodes that lie superficial to the mastoid bone are the

Posterior auricular nodes

52

Hydrocephalus

Abnormal collection of cerebral spinal fluid in ventricles of brain causes enlargement of brain

53

Fetal alcohol syndrome

Developmental delays and congenital abnormalities
Microcephaly, flattened check bones, small eyes, flattened upper lip

54

Down's syndrome

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

55

Cretinism (congenital hypothyroidism)

Puffy facial features often larger than normal tongue. Common in parts of the world where diet is deficient in iodine

56

Bell's Palsy

Paralysis, usually unilateral, of facial nerve CN VII can be transient or permanent

57

Parkin's disease

Degenerative neurological disease
Mask like facial appearance, rigid muscles, diminished reflexes and shuffling gait

58

Scleroderma

Hardening of the skin, usually in hands and face first

59

Goiter

Enlarged thyroid gland

61

Myxedema

Severe hypothyroidism, preorbital swelling mad edema of face, hands and feet

62

Acute situations include

head and neck injuries, neck pain, enlarged lymph nodes, thyrotoxicosis

63

Bruit may be present with?

hyperthyroidism and thyrotoxicosis

64

Infant should be able to hold head up by?

four months

65

caput succedanem

swollen and ecchymotic area caused by the birth process as the head is squeezed

66

cephalahematoma

hemorrhage defined over single cranial bone