Physical Exam - Neck Flashcards Preview

Assessment 2019 > Physical Exam - Neck > Flashcards

Flashcards in Physical Exam - Neck Deck (21)
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1
Q

Inspect for what in the neck?

A

Lumps and bumps, pulsation

2
Q

Palpate for what in the neck?

A

Lymph nodes, trachea, carotids, CN XI, thyroid gland

3
Q

What should you be cautious of while palpating the neck?

A

Carotid

4
Q

What is the space between the clavicles?

A

Manubrium

5
Q

The manubrium is part of what?

A

Sternum

6
Q

What is the muscle that joins the side of the head to the sternum/clavicle?

A

Sternocleidomastoid muscle

7
Q

The angle between the jaw/chin and sternocleidomastoid muscle

A

Anterior triangle

8
Q

Area above clavicle, between trapezius and sternocleidomastoid muscle

A

Posterior triangle

9
Q

Parotitis

A

Inflammation of parotid salivary glands

10
Q

Cause of parotitis

A

S. Aureus, or virus from mumps (strep or staph)

11
Q

How to avoid parotitis

A

Vaccination - 3 shot series MMR

12
Q

Assessing the carotid artery - palpation

A

One side at a time, only enough pressure to feel pulse, should feel equal bilaterally

13
Q

Assessing carotid artery - auscultation

A

Use bell of stethoscope, check for bruit

14
Q

Assessing the thyroid - inspection

A

Tip patients head back, inspect region below cricoid cartilage, observe pt swallow - thyroid gland moves upward. Note symmetry and contour

15
Q

Movement of thyroid

A

Cricoid, thyroid cartilage, and thyroid rise with swallowing then fall into resting place

16
Q

Etiology of hyperthyroidism

A

Graves’ disease, toxic multi-nodular goiter, toxic adenoma, exogenous thyroid hormone ingestion

17
Q

Hypothyroidism etiology

A

Hashimoto’s thyroiditis, sub-acute thyroiditis, iodine deficiency, thyroid surgery, severe illness, drug induced

18
Q

What is subjective information?

A

Anything the patient reports, not backed up by physical assessment

19
Q

What is objective information?

A

Anything YOU find on physical exam

20
Q

Example documentation
Neck: soft supple, trachea midline, thyroid diffusely enlarged soft without nodules, non-tender to touch, no lymphadenopathy

A

Abnormal

21
Q

example documentation: Head; bossing (bulging) forehead, prolonged chin, no lesions, lumps, or infestations, normal hair distribution

A

Abnormal