Assessment of head/face/neck/lymphatic system Flashcards
lymph nodes function
filter lymph preventing harmful substances from entering circulation
the lymph nodes are accesible for examination in which four areas
- head and neck
- arms
- axialle
- inguinal region
normocephalic
a round symmetrical skull
microcephaly
abnormally small head
macrocephaly
abnormally large head
lymph nodes expected outcome
moveable, discrete, soft, nontender
lymph nodes unexpected findings
lymphopathy (enlargement)
lymphopathy is due to
infection, allergy, neoplasm (i.e. mononucleosis)
tracheal shift to the unaffected side is due to
aortic aneurysm, tumor, unilateral thyroid lobe enlargement, pneumothorax
tracheal shift to the affected side
large atelectasis, fibrosis
thyroid expected findings
nonpalpable
thyroid assessment unexpected findings
- unilateral bulge (thyroid goiter, cyst, tumor)
- tenderness (subacute infections, trauma, radiation thyroiditis)
auscltation of the thyroid should be done with which side of the stethoscope
bell
auscltation of the thyroid should only be done when
thyroid is enlarged
thyroid auscltation expected outcomes
no audible sounds
thyroid auscltation unexpected findings
bruits
bruits
- soft, pulsatile, whoosing, blowing sound best heard in the bell of a stethoscope
- accelerated or turbulent bloodflow
bruits is caused by
toxic goiter, hyperthyroidism
carotid artery expected outcome
palpable
carotid artery unexpected outcome
nonpalpable
ascultation of the carotid artery unexpected
bruits
parkinsons syndrome effect on the face
- immobility of the features causes a face that is flat and expressionless.
- “masklike” with elevated eyebrows, staring gaze, oily skin and drooling
crushings syndrome effect on the face
- prethoric, rounded, moonface, prominate jowls, red cheeks, hirsustim on the upper lip, lower cheeks, and chin, uniform rash on the chest
bells palsy effect on the face
- caused by herpes simplex
- complete paralysis of one half of the face