Ch 14. Head and Neck, Flashcards
What’s another name for C7
Vertebra Prominens
Seven cranial bones
two frontal, two parietal, one occipital, and two temporal. (bones are joined by immovable joints called sutures). Cranial bone is supported by the cervical vertebrae.
Which salary glands can you palpate
The sublingual and submandibular salivary glands are accessible to examination, where as the parotid glands are not normally palpable.
Structures and landmarks of the neck:
Boundaries of the neck include the skull and the inferior border of the mandible above and by the manubrium sterni, the clavicle, the first rib, and the first thoracic vertebra below.
The thyroid gland straddles the trachea in the middle of the neck. The thyroid cartilage, with a small palpable notch, lies above the thyroid isthmus.
List the Lympatics
Preauricular – in front of the ears.
Posterior auricular (mastoid) – superficial to the mastoid process.
Occipital – base of the skull
Submental – midline, behind the tip of the mandible
Submandibular – halfway between the angle and the tip of the mandible
Tonsillar – under the angle of the mandible
Superficial cervical – overlying the sternomastoid muscle
Deep cervical – deep under the sternomastoid muscle
Posterior cervical – in the posterior triangle along the edge of the trapezius muscle
Supraclavicular – just above and behind the clavicle, at the sternomastoid muscle.
What developmental considerations for the head/neck of a pregnant women
Pregnant women
Slight enlargement of thyroid gland
Head and Neck Health History Q’s
Headache Head injury Dizziness Neck pain or limitation of motion Lumps or swelling History of head or neck surgery
Infants and children
Prenatal drug exposure
Type of delivery
Growth pattern
Older adults
Dizziness
Neck pain
Inspect Head
Head—Inspect and palpate the skull Size and shape (normocephalic) Temporal area Temporal artery Temporomandibular joint Head—Inspect the face Facial structures
Inspect Neck
Neck—Inspect and palpate • Symmetry • Range of motion • Lymph nodes If palpable, note: location, size, shape, delimitation, mobility, consistency, and tenderness • Trachea • Thyroid gland > Posterior approach > Anterior approach > Auscultate >>Presence of a bruit
Developmental Considerations: Infants and children
Skull: head circumference, caput succedaneum, cephalhematoma
Face: symmetry, appearance, presence of swelling
Neck: muscle development and head control
Special considerations
Developmental Considerations: Older Adults
Presence of senile tremors, concave cervical curve, dizziness on ROM
